| 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 | $497.38 | $692.17 | $955.88 | |
Regence BlueShield
| Facility | $10,303.53 | $13,737.97 | $17,393.36 | |
United
| Facility | $11,800.00 | $43,920.00 | $49,407.00 |