| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.32 | $1,863.57 | $5,519.00 | |
Moda Health
| Facility | $659.39 | $1,250.60 | $1,659.99 | |
Regence BlueShield
| Facility | $4,116.89 | $5,756.01 | $7,201.73 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |