| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $7,727.00 | $10,720.00 | |
Moda Health
| Facility | $726.84 | $1,006.02 | $1,199.76 | |
Regence BlueShield
| Facility | $17,304.88 | $23,969.22 | $29,367.14 | |
Regence BlueShield
| Facility | 50 | $25,489.85 | $35,953.83 | $44,539.86 |
United
| Facility | $11,800.00 | $15,872.00 | $70,019.00 |