| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $674.16 | $1,019.49 | $1,444.82 | |
Regence BlueShield
| Facility | $5,513.62 | $8,840.18 | $10,831.01 | |
Regence BlueShield
| Facility | 50 | $7,500.86 | $13,260.27 | $16,246.52 |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |