| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47,804.20 | $47,804.20 | $47,804.20 | |
Moda Health
| Facility | $87,582.25 | $100,634.38 | $111,538.00 | |
Regence BlueShield
| Facility | $4,764.00 | $77,966.09 | $129,136.36 | |
United
| Facility | $55,518.11 | $70,619.89 | $102,219.59 |