| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $395.63 | $710.59 | $883.82 | |
Regence BlueShield
| Facility | $4,597.82 | $6,572.09 | $8,615.14 | |
Regence BlueShield
| Facility | 50 | $6,427.95 | $9,858.14 | $13,425.75 |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |