| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $766.47 | $3,977.00 | $6,161.00 | |
Regence BlueShield
| Facility | $33,765.40 | $42,102.54 | $60,444.24 | |
Regence BlueShield
| Facility | 50 | $50,648.10 | $63,153.81 | $90,666.36 |
United
| Facility | $4,252.00 | $19,667.00 | $75,254.00 |