| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $615.51 | $956.57 | $1,202.52 | |
Regence BlueShield
| Facility | $4,597.82 | $6,572.09 | $8,615.14 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |