| 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 | $668.76 | $1,116.02 | $1,957.41 | |
Regence BlueShield
| Facility | $6,175.82 | $11,812.34 | $22,922.74 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |