| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $318.19 | $575.29 | $682.10 | |
Regence BlueShield
| Facility | $5,399.76 | $8,522.07 | $10,689.08 | |
Regence BlueShield
| Facility | 50 | $7,345.97 | $12,783.11 | $16,471.71 |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |