| 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 | $754.47 | $1,226.89 | $1,464.08 | |
Regence BlueShield
| Facility | $10,635.75 | $13,361.49 | $22,046.46 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |