| 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 | $701.42 | $1,218.63 | $1,538.46 | |
Regence BlueShield
| Facility | $8,562.96 | $20,714.68 | $28,539.36 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |