| 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 | $553.65 | $994.66 | $1,725.98 | |
Regence BlueShield
| Facility | $3,933.86 | $6,109.89 | $8,507.26 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |