| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $1,035.82 | $1,875.87 | $2,515.08 | |
Regence BlueShield
| Facility | $5,945.88 | $10,875.97 | $15,835.76 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |