| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $8,622.00 | $10,879.49 | |
Moda Health
| Facility | $1,181.46 | $1,816.97 | $2,274.46 | |
Regence BlueShield
| Facility | $9,660.78 | $14,097.25 | $17,807.80 | |
United
| Facility | $10,120.00 | $11,831.32 | $27,159.00 |