| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.14 | $723.94 | $5,519.00 | |
Moda Health
| Facility | $308.83 | $461.24 | $755.56 | |
Regence BlueShield
| Facility | $1,268.32 | $1,771.69 | $2,164.31 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |