| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $5,519.00 | $10,104.07 | |
Moda Health
| Facility | $857.99 | $1,409.49 | $1,783.64 | |
Regence BlueShield
| Facility | $8,562.96 | $20,714.68 | $28,539.36 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |