| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $578.16 | $3,401.47 | $7,806.70 | |
Regence BlueShield
| Facility | $9,817.25 | $14,025.11 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |