| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $7,727.00 | |
Moda Health
| Facility | $597.09 | $4,832.64 | $18,702.45 | |
Regence BlueShield
| Facility | $10,608.36 | $17,382.52 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |