| 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 | $872.89 | $1,394.58 | $1,714.48 | |
Regence BlueShield
| Facility | $5,960.99 | $8,854.77 | $10,870.07 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |