| 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 | $604.70 | $1,074.58 | $1,518.32 | |
Regence BlueShield
| Facility | $3,884.56 | $5,546.60 | $7,080.21 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |