| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,210.46 | $4,387.00 | $9,907.00 | |
Regence BlueShield
| Facility | $8,413.68 | $11,103.62 | $16,181.16 | |
Regence BlueShield
| Facility | 50 | $12,620.52 | $16,906.52 | $24,271.74 |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |