| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $293.91 | $503.04 | $711.23 | |
Regence BlueShield
| Facility | $5,399.76 | $8,522.07 | $10,689.08 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |