| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $623.16 | $1,071.04 | $1,365.52 | |
Regence BlueShield
| Facility | $2,074.61 | $4,697.79 | $5,755.74 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |