| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $973.63 | $1,538.46 | $1,987.56 | |
Regence BlueShield
| Facility | $35,421.19 | $50,624.32 | $64,304.50 | |
United
| Facility | $12,798.00 | $24,769.00 | $69,331.00 |