| 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 | $1,408.53 | $2,551.28 | $3,451.74 | |
Regence BlueShield
| Facility | $14,703.82 | $18,472.14 | $30,479.03 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |