| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $333.16 | $509.42 | $827.14 | |
Regence BlueShield
| Facility | $980.47 | $1,724.86 | $2,164.31 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |