| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $761.23 | $4,312.00 | $8,133.00 | |
Regence BlueShield
| Facility | $3,310.39 | $4,430.70 | $6,456.79 | |
Regence BlueShield
| Facility | 50 | $4,965.59 | $6,646.05 | $9,685.19 |
United
| Facility | $871.00 | $4,665.92 | $7,048.00 |