| 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 | $812.59 | $1,260.21 | $2,915.57 | |
Regence BlueShield
| Facility | $5,746.02 | $8,108.76 | $9,934.86 | |
United
| Facility | $6,295.00 | $9,360.00 | $17,870.00 |