| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $684.38 | $1,233.54 | $2,145.77 | |
Regence BlueShield
| Facility | $2,666.37 | $4,278.66 | $5,765.31 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |