| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,519.00 | $9,294.56 | |
Moda Health
| Facility | $1,086.45 | $1,469.73 | $1,746.23 | |
Regence BlueShield
| Facility | $10,735.84 | $15,339.80 | $19,820.41 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |