| 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 | $1,478.14 | $2,612.58 | $3,930.49 | |
Regence BlueShield
| Facility | $14,972.55 | $34,178.19 | $43,515.35 | |
United
| Facility | $2,100.00 | $10,120.00 | $45,126.00 |