| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105,758.00 | $105,758.00 | $105,758.00 | |
Moda Health
| Facility | $190,029.08 | $221,280.83 | $246,756.04 | |
Regence BlueShield
| Facility | $6,272.00 | $165,627.20 | $239,601.58 | |
United
| Facility | $122,822.94 | $156,232.70 | $226,140.82 |