| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $787.69 | $1,848.70 | $3,120.15 | |
Regence BlueShield
| Facility | $6,662.17 | $13,168.12 | $17,807.80 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |