| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $7,727.00 | |
Moda Health
| Facility | $408.70 | $1,218.98 | $18,358.18 | |
Regence BlueShield
| Facility | $10,303.53 | $13,737.97 | $17,393.36 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |