| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,663.85 | $5,519.00 | $12,153.99 | |
Moda Health
| Facility | $1,411.05 | $1,924.70 | $2,275.60 | |
Regence BlueShield
| Facility | $10,735.84 | $15,339.80 | $19,820.41 | |
Regence BlueShield
| Facility | 50 | $14,624.12 | $23,009.70 | $30,811.46 |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |