| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $1,820.83 | $3,073.40 | $7,304.52 | |
Regence BlueShield
| Facility | $2,682.67 | $2,682.67 | $2,980.74 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 |