| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $5,519.00 | $8,622.00 | |
Moda Health
| Facility | $1,031.58 | $1,548.78 | $2,087.19 | |
Regence BlueShield
| Facility | $10,480.23 | $22,875.82 | $28,539.36 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |