| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $751.22 | $1,237.06 | $2,799.76 | |
Regence BlueShield
| Facility | $5,746.02 | $7,934.73 | $9,934.86 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |