| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $14,359.70 | $26,268.55 | |
Moda Health
| Facility | $2,058.61 | $3,077.82 | $5,697.25 | |
Regence BlueShield
| Facility | $17,280.86 | $24,687.79 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |