| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $675.42 | $1,260.85 | $1,766.57 | |
Regence BlueShield
| Facility | $4,515.72 | $7,849.65 | $9,927.16 | |
Regence BlueShield
| Facility | 50 | $6,143.30 | $11,774.48 | $15,293.70 |
United
| Facility | $1,350.00 | $5,550.00 | $12,233.00 |