| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $411.62 | $678.34 | $1,123.90 | |
Regence BlueShield
| Facility | $5,206.57 | $8,585.95 | $11,346.40 | |
Regence BlueShield
| Facility | 50 | $7,083.15 | $12,878.94 | $17,693.96 |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |