| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $926.95 | $1,403.92 | $1,597.34 | |
Regence BlueShield
| Facility | $5,040.66 | $7,582.86 | $9,755.03 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |