| 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 | $171.28 | $268.11 | $348.26 | |
Regence BlueShield
| Facility | $670.93 | $958.04 | $1,244.19 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |