| 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 | $735.63 | $1,237.06 | $2,853.45 | |
Regence BlueShield
| Facility | $5,746.02 | $7,934.73 | $9,934.86 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |