| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $2,582.17 | $7,205.00 | |
Moda Health
| Facility | $548.02 | $1,038.54 | $1,512.59 | |
Regence BlueShield
| Facility | $4,116.89 | $5,756.01 | $7,201.73 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |