| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $815.29 | $1,461.59 | $2,561.55 | |
Regence BlueShield
| Facility | $1,940.27 | $2,437.53 | $4,021.92 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |