| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $18,652.00 | $19,168.50 | |
Moda Health
| Facility | $1,383.63 | $2,027.79 | $2,863.54 | |
Regence BlueShield
| Facility | $19,180.41 | $24,096.00 | $39,758.40 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |