| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $877.59 | $1,394.43 | $1,763.88 | |
Regence BlueShield
| Facility | $5,960.99 | $8,854.77 | $10,870.07 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |