| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $834.53 | $5,743.00 | $11,660.28 | |
Regence BlueShield
| Facility | $5,263.30 | $6,648.17 | $9,559.39 | |
Regence BlueShield
| Facility | 50 | $7,894.95 | $9,972.26 | $14,339.09 |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |