| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,326.43 | $1,943.18 | $7,205.00 | |
Moda Health
| Facility | $617.24 | $933.52 | $1,163.05 | |
Regence BlueShield
| Facility | $4,693.55 | $8,522.07 | $10,689.08 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |