| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $8,439.00 | $11,427.48 | |
Moda Health
| Facility | $939.37 | $1,620.29 | $2,396.98 | |
Regence BlueShield
| Facility | $8,064.64 | $12,228.99 | $15,681.77 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |