| 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 | $892.86 | $1,588.20 | $2,813.36 | |
Regence BlueShield
| Facility | $3,800.99 | $4,775.12 | $7,878.94 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |