| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $914.39 | $1,594.23 | $1,922.23 | |
Regence BlueShield
| Facility | $6,499.79 | $12,228.99 | $15,681.77 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |