| 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 | $1,177.39 | $2,221.78 | $2,996.59 | |
Regence BlueShield
| Facility | $7,334.89 | $10,854.89 | $13,325.26 | |
United
| Facility | $1,980.00 | $10,120.00 | $27,159.00 |