| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $6,639.20 | $7,205.00 | |
Moda Health
| Facility | $320.74 | $826.17 | $2,750.36 | |
Regence BlueShield
| Facility | $3,965.97 | $8,522.07 | $10,689.08 | |
Regence BlueShield
| Facility | 50 | $5,852.45 | $12,783.11 | $16,471.71 |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |