| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $571.77 | $5,743.00 | $8,734.65 | |
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 | $871.00 | $4,912.00 | $7,048.00 |