| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $493.94 | $694.25 | $982.62 | |
Regence BlueShield
| Facility | $15,496.87 | $31,165.89 | $41,273.06 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |