| 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 | $1,228.58 | $2,418.28 | $4,282.28 | |
Regence BlueShield
| Facility | $3,678.46 | $4,621.18 | $7,624.96 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |