| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $559.01 | $4,387.00 | $8,344.00 | |
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 | $1,981.00 | $3,613.00 | $7,048.00 |