| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,884.03 | $4,466.84 | $5,495.41 | |
BCBS
| Facility | $1,621.81 | $4,073.80 | $7,079.46 | |
Moda Health
| Facility | $676.08 | $1,698.24 | $5,495.41 | |
Regence BlueShield
| Facility | $4,168.69 | $5,248.07 | $7,585.78 | |
United
| Facility | $1,148.15 | $5,495.41 | $12,302.69 |