| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,263.23 | $1,263.23 | $22,142.26 | |
Moda Health
| Facility | $337.91 | $584.09 | $1,358.77 | |
Regence BlueShield
| Facility | $20,176.29 | $28,114.91 | $34,446.44 | |
United
| Facility | $12,000.00 | $65,929.00 | $69,332.00 |