| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $550.01 | $2,742.52 | $8,840.00 | |
Moda Health
| Facility | $257.45 | $660.95 | $2,419.87 | |
Regence BlueShield
| Facility | $5,810.64 | $8,522.07 | $10,689.08 | |
Regence BlueShield
| Facility | 50 | $7,904.94 | $12,783.11 | $16,471.71 |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |