| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,374.68 | $12,779.38 | $43,557.09 | |
Moda Health
| Facility | $964.26 | $1,374.68 | $2,668.19 | |
Regence BlueShield
| Facility | $58,323.15 | $79,913.78 | $97,910.53 | |
United
| Facility | $10,606.00 | $11,004.00 | $13,715.00 |