| 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 | $166.13 | $266.27 | $402.60 | |
Regence BlueShield
| Facility | $348.33 | $491.54 | $606.59 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |