| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $5,519.00 | $18,891.24 | |
Moda Health
| Facility | $920.53 | $1,405.22 | $2,069.88 | |
Regence BlueShield
| Facility | $35,421.19 | $50,624.32 | $64,304.50 | |
United
| Facility | $12,798.00 | $39,436.00 | $39,579.00 |