| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $453.74 | $741.71 | $1,436.70 | |
Regence BlueShield
| Facility | $11,710.47 | $23,146.31 | $31,188.68 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |