| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $5,519.00 | $8,622.00 | |
Moda Health
| Facility | $437.78 | $658.96 | $940.28 | |
Regence BlueShield
| Facility | $4,693.55 | $8,522.07 | $10,689.08 | |
Regence BlueShield
| Facility | 50 | $6,385.22 | $12,783.11 | $16,471.71 |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |