| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $867.47 | $1,610.57 | $3,858.94 | |
Regence BlueShield
| Facility | $8,342.03 | $13,217.86 | $17,141.09 | |
Regence BlueShield
| Facility | 50 | $11,348.70 | $19,826.79 | $25,964.93 |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |