| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $382.71 | $685.06 | $1,190.76 | |
Regence BlueShield
| Facility | $3,933.86 | $6,109.89 | $8,507.26 | |
United
| Facility | $5,484.78 | $9,360.00 | $17,870.00 |