| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,657.00 | $5,519.00 | |
Moda Health
| Facility | $1,433.33 | $2,561.83 | $3,474.81 | |
Regence BlueShield
| Facility | $14,703.82 | $18,472.14 | $30,479.03 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |