| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $590.77 | $831.71 | $1,961.83 | |
Regence BlueShield
| Facility | $20,176.29 | $28,114.91 | $34,446.44 | |
United
| Facility | $12,798.00 | $65,929.00 | $69,332.00 |