| 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 | $1,388.24 | $2,612.54 | $4,531.97 | |
Regence BlueShield
| Facility | $8,342.03 | $13,217.86 | $17,141.09 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |