| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $12,679.52 | $22,011.13 | |
Moda Health
| Facility | $625.35 | $1,052.25 | $1,905.64 | |
Regence BlueShield
| Facility | $9,788.65 | $12,974.31 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |