| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $5,079.60 | $8,622.00 | |
Moda Health
| Facility | $430.48 | $1,173.89 | $1,551.00 | |
Regence BlueShield
| Facility | $3,884.56 | $5,546.60 | $7,080.21 | |
Regence BlueShield
| Facility | 50 | $5,407.41 | $8,319.90 | $11,041.11 |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |