| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $113,962.00 | $113,962.00 | $113,962.00 | |
Moda Health
| Facility | $204,532.07 | $238,188.98 | $265,898.34 | |
Regence BlueShield
| Facility | $6,272.00 | $177,267.88 | $256,441.36 | |
United
| Facility | $132,351.04 | $168,352.60 | $243,683.91 |