| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $5,519.00 | $13,847.55 | |
Moda Health
| Facility | $1,271.40 | $2,504.61 | $3,070.27 | |
Regence BlueShield
| Facility | $10,480.23 | $22,875.82 | $28,539.36 | |
Regence BlueShield
| Facility | 50 | $12,096.96 | $34,313.73 | $43,527.18 |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |