| 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 | $2,573.75 | $4,845.92 | $6,704.34 | |
Regence BlueShield
| Facility | $7,480.35 | $9,397.43 | $15,505.75 | |
United
| Facility | $2,100.00 | $10,120.00 | $27,159.00 |