| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,181.27 | $2,234.98 | $3,004.01 | |
Regence BlueShield
| Facility | $7,600.42 | $10,875.97 | $15,835.76 | |
United
| Facility | $1,980.00 | $10,120.00 | $27,159.00 |