| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $603.87 | $5,821.00 | $9,230.44 | |
Regence BlueShield
| Facility | $7,298.64 | $9,810.86 | $14,297.23 | |
Regence BlueShield
| Facility | 50 | $10,947.96 | $14,716.29 | $21,445.85 |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 |