| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $7,205.00 | $7,340.00 | |
Moda Health
| Facility | $661.17 | $912.88 | $1,363.42 | |
Regence BlueShield
| Facility | $39,730.76 | $56,756.66 | $71,753.73 | |
Regence BlueShield
| Facility | 50 | $59,151.98 | $85,134.99 | $107,630.60 |
United
| Facility | $13,715.00 | $147,043.00 | $163,191.00 |