| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,387.60 | $3,387.60 | $19,238.75 | |
Moda Health
| Facility | $1,341.66 | $2,530.84 | $3,416.08 | |
Regence BlueShield
| Facility | $14,703.82 | $18,472.14 | $30,479.03 | |
Regence BlueShield
| Facility | 50 | $22,055.73 | $26,784.60 | $45,718.55 |
United
| Facility | $4,800.00 | $12,000.00 | $45,126.00 |