| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $442.28 | $1,256.13 | $3,649.37 | |
Regence BlueShield
| Facility | $6,175.82 | $11,812.34 | $22,922.74 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |