| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,078.64 | $1,580.29 | $1,774.94 | |
Regence BlueShield
| Facility | $5,264.99 | $6,614.31 | $10,913.61 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |