| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $548.92 | $859.58 | $1,094.45 | |
Regence BlueShield
| Facility | $3,232.58 | $6,572.09 | $8,615.14 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |