| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $6,899.00 | $17,859.50 | |
Moda Health
| Facility | $1,684.74 | $2,960.58 | $3,578.98 | |
Regence BlueShield
| Facility | $11,710.47 | $24,687.79 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |