| 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 | $618.82 | $966.63 | $1,207.67 | |
Regence BlueShield
| Facility | $4,597.82 | $6,572.09 | $8,615.14 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |