| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,570.56 | $3,570.56 | $55,769.30 | |
Molina
| Professional | $5,559.87 | $6,860.76 | $8,933.36 | |
Regence BlueShield
| Facility | $26,568.46 | $33,559.12 | $48,451.20 | |
Regence BlueShield
| Professional | $974.74 | $2,402.23 | $18,357.20 | |
United
| Professional | $8,402.79 | $10,431.03 | $20,862.00 |