| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $999.40 | $1,746.48 | $3,080.82 | |
Regence BlueShield
| Facility | $4,205.45 | $5,283.23 | $8,717.32 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |