| 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 | $1,276.89 | $2,172.59 | $3,804.85 | |
Regence BlueShield
| Facility | $18,556.28 | $23,146.31 | $31,188.68 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |