| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.95 | $4,387.00 | $8,133.00 | |
Regence BlueShield
| Facility | $9,633.73 | $12,977.17 | $18,911.45 | |
Regence BlueShield
| Facility | 50 | $14,450.60 | $19,465.75 | $28,367.18 |
United
| Facility | $1,202.00 | $4,912.00 | $8,267.00 |