| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $833.58 | $1,704.35 | $2,162.94 | |
Regence BlueShield
| Facility | $8,138.70 | $17,361.59 | $22,059.79 | |
United
| Facility | $1,500.00 | $9,360.00 | $17,870.00 |