| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,494.99 | $3,494.99 | $8,622.00 | |
Moda Health
| Facility | $1,202.08 | $2,252.46 | $3,524.36 | |
Regence BlueShield
| Facility | $10,653.11 | $17,361.59 | $22,059.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |