| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $882.49 | $6,624.38 | $12,206.47 | |
Regence BlueShield
| Facility | $10,361.94 | $13,564.50 | $19,767.36 | |
Regence BlueShield
| Facility | 50 | $15,542.91 | $20,346.75 | $29,651.04 |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |