| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,027.95 | $5,904.60 | $7,205.72 | |
Moda Health
| Facility | $496.18 | $773.10 | $1,014.83 | |
Regence BlueShield
| Facility | $6,236.68 | $8,818.74 | $11,812.34 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |