| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,227.72 | $4,657.00 | $21,864.48 | |
Moda Health
| Facility | $1,679.23 | $3,163.27 | $4,263.26 | |
Regence BlueShield
| Facility | $14,703.82 | $18,472.14 | $30,479.03 | |
United
| Facility | $4,800.00 | $12,000.00 | $45,126.00 |