| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.84 | $3,234.11 | $6,252.07 | |
Regence BlueShield
| Facility | $2,304.17 | $3,047.35 | $4,440.85 | |
Regence BlueShield
| Facility | 50 | $3,456.27 | $4,571.03 | $6,661.29 |
United
| Facility | $1,689.00 | $2,312.00 | $4,640.00 |