| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117,489.76 | $177,827.94 | $295,120.92 | |
Pacific Source
| Facility | $100,000.00 | $100,000.00 | $100,000.00 | |
Premera BCBS
| Facility | $112,201.85 | $169,824.37 | $281,838.29 | |
Regence BlueShield
| Facility | $123,026.88 | $162,181.01 | $223,872.11 | |
United
| Facility | $54,954.09 | $158,489.32 | $223,872.11 |