| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,419.60 | $28,419.60 | $28,419.60 | |
Moda Health
| Facility | $53,315.12 | $62,088.42 | $66,309.31 | |
Regence BlueShield
| Facility | $6,272.00 | $43,122.46 | $62,809.99 | |
United
| Facility | $33,005.49 | $41,983.50 | $60,769.50 |