| 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 | $555.94 | $3,391.52 | $13,269.93 | |
Regence BlueShield
| Facility | $9,817.25 | $12,974.31 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |