| 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 | $626.58 | $1,052.80 | $1,513.46 | |
Regence BlueShield
| Facility | $4,625.43 | $10,854.89 | $13,325.26 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |