| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99,719.80 | $99,719.80 | $99,719.80 | |
Moda Health
| Facility | $179,355.95 | $208,869.99 | $310,255.32 | |
Regence BlueShield
| Facility | $6,272.00 | $156,920.53 | $255,975.16 | |
United
| Facility | $115,811.00 | $147,313.40 | $213,230.48 |