| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,257.35 | $4,805.00 | $53,800.78 | |
Moda Health
| Facility | $1,033.71 | $1,500.58 | $3,503.71 | |
Regence BlueShield
| Facility | $62,297.00 | $87,311.77 | $106,974.56 | |
United
| Facility | $14,540.00 | $64,123.16 | $163,251.00 |