| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,657.00 | $20,865.50 | |
Moda Health
| Facility | $1,221.82 | $1,977.96 | $2,619.33 | |
Regence BlueShield
| Facility | $17,840.40 | $23,146.31 | $31,188.68 | |
United
| Facility | $11,800.00 | $20,822.43 | $29,092.00 |