| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,079.48 | $3,079.48 | $61,857.80 | |
Molina
| Professional | $5,424.41 | $6,700.08 | $8,719.69 | |
Regence BlueShield
| Facility | $20,988.87 | $33,247.55 | $48,451.20 | |
Regence BlueShield
| Professional | $841.77 | $2,122.85 | $24,265.63 | |
United
| Professional | $10,590.35 | $11,553.15 | $23,810.82 |