| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.17 | $4,312.00 | $8,133.00 | |
Regence BlueShield
| Facility | $2,475.05 | $3,218.11 | $4,689.71 | |
Regence BlueShield
| Facility | 50 | $3,712.58 | $4,827.17 | $7,034.57 |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |