| 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 | $914.76 | $1,394.50 | $1,574.44 | |
Regence BlueShield
| Facility | $5,803.94 | $7,766.93 | $9,755.03 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |