| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.35 | $3,038.00 | $4,387.00 | |
Regence BlueShield
| Facility | $18,949.27 | $25,828.11 | $37,638.96 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |
Revj Incl Rplcmt Nstim Eltrd Plt/Pdle Incl Fluor
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,057.35 | $3,038.00 | $4,387.00 | |
Regence BlueShield
| Facility | $18,949.27 | $25,828.11 | $37,638.96 | |
United
| Facility | $3,028.00 | $9,753.00 | $15,824.00 |