| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $7,727.00 | |
Moda Health
| Facility | $572.89 | $1,408.22 | $2,058.46 | |
Regence BlueShield
| Facility | $23,890.63 | $34,178.19 | $43,515.35 | |
United
| Facility | $12,000.00 | $24,599.00 | $65,746.00 |