| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,092.94 | $4,500.00 | $17,936.00 | |
Moda Health
| Facility | $1,182.08 | $1,758.78 | $2,014.33 | |
Regence BlueShield
| Facility | $12,290.00 | $12,290.00 | $12,290.00 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |