| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,657.00 | $16,636.12 | |
Moda Health
| Facility | $1,024.06 | $1,534.59 | $1,791.94 | |
Regence BlueShield
| Facility | $10,401.44 | $14,187.47 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |