| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $916.71 | $1,611.99 | $2,836.46 | |
Regence BlueShield
| Facility | $3,933.86 | $6,109.89 | $8,507.26 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |