| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.08 | $3,038.00 | $4,387.00 | |
Regence BlueShield
| Facility | $1,361.81 | $1,728.22 | $2,518.51 | |
Regence BlueShield
| Facility | 50 | $2,042.72 | $2,592.33 | $3,777.77 |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 |