| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,769.13 | $2,769.13 | $26,940.70 | |
Molina
| Professional | $2,592.60 | $3,180.78 | $4,144.60 | |
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 | $760.55 | $1,920.08 | $12,051.88 | |
United
| Professional | $4,638.14 | $6,028.42 | $10,119.60 |