| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $790.15 | $3,038.00 | $4,387.00 | |
Regence BlueShield
| Facility | $5,251.88 | $6,548.64 | $9,401.51 | |
Regence BlueShield
| Facility | 50 | $7,877.82 | $9,822.95 | $14,102.27 |
United
| Facility | $2,155.00 | $6,097.00 | $8,267.00 |