| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $659.32 | $1,092.02 | $2,804.36 | |
Regence BlueShield
| Facility | $5,695.82 | $7,155.56 | $11,806.67 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |