| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $766.64 | $4,500.00 | $7,624.80 | |
Moda Health
| Facility | $370.32 | $559.49 | $824.63 | |
Regence BlueShield
| Facility | $3,671.73 | $4,962.96 | $6,186.02 | |
Regence BlueShield
| Facility | 50 | $5,217.60 | $7,444.44 | $9,623.73 |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |