| 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 | $656.56 | $1,130.41 | $1,741.24 | |
Regence BlueShield
| Facility | $8,138.70 | $17,361.59 | $22,059.79 | |
United
| Facility | $1,350.00 | $5,550.00 | $14,287.46 |