| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $7,175.00 | |
Moda Health
| Facility | $620.36 | $863.24 | $1,194.22 | |
Regence BlueShield
| Facility | $31,610.23 | $44,515.87 | $57,287.30 | |
United
| Facility | $11,800.00 | $45,934.00 | $49,430.00 |