| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,805.00 | $11,041.98 | $21,016.80 | |
Moda Health
| Facility | $579.39 | $1,488.92 | $9,349.70 | |
Regence BlueShield
| Facility | $11,710.47 | $24,687.79 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |