| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63,146.20 | $63,146.20 | $63,146.20 | |
Moda Health
| Facility | $75,024.50 | $115,710.55 | $147,334.17 | |
Regence BlueShield
| Facility | $4,764.00 | $69,563.74 | $113,535.52 | |
United
| Facility | $73,335.64 | $93,284.10 | $135,025.15 |