| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $297.56 | $2,922.00 | $5,743.00 | |
Regence BlueShield
| Facility | $2,962.05 | $3,861.91 | $5,627.91 | |
Regence BlueShield
| Facility | 50 | $4,443.08 | $5,792.87 | $8,441.87 |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 |