| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,083.83 | $4,387.00 | $8,133.00 | |
Regence BlueShield
| Facility | $4,684.92 | $6,137.22 | $8,943.69 | |
Regence BlueShield
| Facility | 50 | $7,027.38 | $9,205.83 | $13,415.54 |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |