| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $5,519.00 | $8,439.00 | |
Moda Health
| Facility | $593.44 | $1,009.74 | $1,759.66 | |
Regence BlueShield
| Facility | $6,236.68 | $7,779.36 | $11,812.34 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |