| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.05 | $4,387.00 | $8,344.00 | |
Regence BlueShield
| Facility | $5,209.35 | $7,100.42 | $10,347.35 | |
Regence BlueShield
| Facility | 50 | $7,814.03 | $10,650.63 | $15,521.03 |
United
| Facility | $871.00 | $4,455.00 | $7,048.00 |