| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,626.76 | $5,519.00 | $21,589.47 | |
Moda Health
| Facility | $1,825.96 | $2,739.00 | $5,067.41 | |
Regence BlueShield
| Facility | $14,190.95 | $23,146.31 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |