| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $2,312.78 | $4,700.67 | $5,821.49 | |
Regence BlueShield
| Facility | $7,480.35 | $9,397.43 | $15,505.75 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |