| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $619.79 | $1,055.41 | $1,844.45 | |
Regence BlueShield
| Facility | $6,236.68 | $7,779.36 | $11,812.34 | |
United
| Facility | $7,058.12 | $9,360.00 | $17,870.00 |