| 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 | $1,524.40 | $2,040.00 | $2,542.48 | |
Regence BlueShield
| Facility | $10,303.53 | $13,737.97 | $17,393.36 | |
United
| Facility | $11,403.04 | $11,800.00 | $42,618.00 |