| 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 | $1,263.47 | $2,132.58 | $5,030.96 | |
Regence BlueShield
| Facility | $3,416.82 | $4,292.49 | $7,082.61 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |