| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.70 | $3,064.00 | $4,707.00 | |
Regence BlueShield
| Facility | $2,326.29 | $3,036.60 | $4,425.20 | |
Regence BlueShield
| Facility | 50 | $3,489.44 | $4,554.89 | $6,637.80 |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 |