| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $126.49 | $1,272.39 | $4,195.47 | |
Regence BlueShield
| Facility | $7,370.62 | $11,210.07 | $14,021.70 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |