| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,705.67 | $11,728.80 | $21,148.83 | |
Moda Health
| Facility | $574.80 | $989.53 | $1,721.92 | |
Regence BlueShield
| Facility | $9,788.65 | $12,974.31 | $17,482.34 | |
Regence BlueShield
| Facility | 50 | $13,316.72 | $19,461.47 | $26,073.78 |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |