| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,050.18 | $1,579.05 | $2,051.17 | |
Regence BlueShield
| Facility | $14,190.95 | $24,687.79 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |