| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $8,622.00 | $10,309.37 | |
Moda Health
| Facility | $1,240.54 | $1,959.82 | $3,444.33 | |
Regence BlueShield
| Facility | $9,866.94 | $14,097.25 | $17,807.80 | |
Regence BlueShield
| Facility | 50 | $15,835.22 | $21,801.87 | $27,669.78 |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |