| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,815.87 | $6,935.00 | $15,192.95 | |
Regence BlueShield
| Facility | $13,653.00 | $17,467.05 | $25,454.49 | |
Regence BlueShield
| Facility | 50 | $20,479.50 | $26,200.58 | $38,181.74 |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |