| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,500.00 | $5,519.00 | |
Moda Health
| Facility | $569.98 | $1,067.64 | $1,473.61 | |
Regence BlueShield
| Facility | $971.20 | $1,253.59 | $1,674.85 | |
United
| Facility | $150.00 | $1,800.00 | $9,193.00 |