| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,479.19 | $9,966.00 | $17,070.68 | |
Aetna
| Facility | AS | $117.36 | $117.36 | $117.36 |
Moda Health
| Facility | $807.65 | $1,308.25 | $2,272.60 | |
Regence BlueShield
| Facility | $8,877.81 | $12,974.31 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |