| 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 | $474.33 | $842.41 | $1,214.72 | |
Regence BlueShield
| Facility | $3,379.50 | $4,245.60 | $7,005.24 | |
United
| Facility | $150.00 | $1,800.00 | $9,193.00 |