| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $701.28 | $1,192.16 | $1,538.46 | |
Regence BlueShield
| Facility | $6,499.79 | $12,228.99 | $15,681.77 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |