| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,285.85 | $5,519.00 | $13,037.57 | |
Moda Health
| Facility | $403.90 | $654.30 | $1,145.39 | |
Regence BlueShield
| Facility | $7,813.85 | $12,974.31 | $17,482.34 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |