| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.63 | $2,910.00 | $4,387.00 | |
Regence BlueShield
| Facility | $1,050.47 | $1,326.87 | $1,910.81 | |
Regence BlueShield
| Facility | 50 | $1,575.71 | $1,990.31 | $2,866.22 |
United
| Facility | $1,106.00 | $1,649.00 | $2,824.00 |