| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,519.00 | $8,439.00 | |
Moda Health
| Facility | $1,276.09 | $2,393.82 | $3,174.41 | |
Regence BlueShield
| Facility | $7,480.35 | $9,397.43 | $15,505.75 | |
Regence BlueShield
| Facility | 50 | $11,220.53 | $13,626.27 | $23,258.63 |
United
| Facility | $2,100.00 | $10,120.00 | $27,159.00 |