| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,334.58 | $2,303.58 | $3,482.81 | |
Regence BlueShield
| Facility | $6,412.57 | $9,164.31 | $11,714.67 | |
United
| Facility | $1,400.00 | $9,360.00 | $17,870.00 |