| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,132.79 | $1,535.86 | $3,674.21 | |
Regence BlueShield
| Facility | $5,695.82 | $7,155.56 | $11,806.67 | |
Regence BlueShield
| Facility | 50 | $8,543.73 | $10,375.56 | $17,710.00 |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |