| 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 | $1,241.81 | $2,189.42 | $3,076.34 | |
Regence BlueShield
| Facility | $18,946.55 | $23,802.20 | $39,273.62 | |
United
| Facility | $4,800.00 | $12,000.00 | $49,016.00 |