| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $241.79 | $620.26 | $2,209.60 | |
Regence BlueShield
| Facility | $2,317.15 | $4,962.96 | $6,186.02 | |
Regence BlueShield
| Facility | 50 | $2,037.60 | $7,444.44 | $9,623.73 |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |