| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,522.96 | $2,522.96 | $21,273.60 | |
Molina
| Professional | $1,950.27 | $2,383.44 | $3,108.05 | |
Regence BlueShield
| Facility | $16,616.70 | $20,988.87 | $30,397.25 | |
Regence BlueShield
| Facility | 50 | $24,925.05 | $31,483.31 | $45,595.88 |
Regence BlueShield
| Professional | $693.34 | $1,342.28 | $10,305.81 | |
United
| Professional | $3,668.61 | $4,689.62 | $8,004.24 |