| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,320.42 | $2,318.69 | $2,802.62 | |
Regence BlueShield
| Facility | $18,556.28 | $24,687.79 | $31,188.68 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |