| 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 | $1,184.60 | $2,404.26 | $3,019.36 | |
Regence BlueShield
| Facility | $1,662.47 | $2,088.53 | $3,446.07 | |
United
| Facility | $675.00 | $3,450.00 | $7,609.00 |