| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $1,016.44 | $1,541.39 | $2,173.98 | |
Regence BlueShield
| Facility | $3,403.52 | $4,867.04 | $5,994.73 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |