| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $506.37 | $4,387.00 | $8,147.03 | |
Aetna
| Facility | 50 | $5,736.42 | $5,736.42 | $5,736.42 |
Regence BlueShield
| Facility | $5,086.24 | $6,609.94 | $9,632.58 | |
Regence BlueShield
| Facility | 50 | $7,629.36 | $9,914.91 | $14,448.87 |
United
| Facility | $1,981.00 | $3,613.00 | $7,048.00 |