| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,452.89 | $4,387.00 | $10,458.00 | |
Regence BlueShield
| Facility | $25,703.20 | $32,053.62 | $46,017.58 | |
Regence BlueShield
| Facility | 50 | $38,554.80 | $48,080.43 | $69,026.37 |
United
| Facility | $3,340.00 | $10,927.00 | $24,613.00 |