| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $7,493.60 | $10,019.54 | |
Moda Health
| Facility | $577.04 | $974.48 | $1,673.90 | |
Regence BlueShield
| Facility | $9,660.78 | $13,168.12 | $17,807.80 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |