| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,370.33 | $2,291.38 | $3,680.68 | |
Regence BlueShield
| Facility | $9,660.78 | $13,168.12 | $17,807.80 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |