| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $679.10 | $679.10 | $5,519.00 | |
Moda Health
| Facility | $275.88 | $515.16 | $730.47 | |
Regence BlueShield
| Facility | $7,953.27 | $16,141.46 | $20,737.38 | |
Regence BlueShield
| Facility | 50 | $11,679.45 | $24,212.19 | $32,338.58 |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |