| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $8,622.00 | $9,066.76 | |
Moda Health
| Facility | $625.46 | $1,281.99 | $1,513.29 | |
Regence BlueShield
| Facility | $4,398.53 | $9,164.31 | $11,714.67 | |
Regence BlueShield
| Facility | 50 | $5,962.20 | $13,746.47 | $18,268.25 |
United
| Facility | $1,400.00 | $9,360.00 | $17,870.00 |