| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $708.33 | $1,318.12 | $1,803.89 | |
Regence BlueShield
| Facility | $1,662.47 | $2,088.53 | $3,446.07 | |
United
| Facility | $675.00 | $3,450.00 | $7,609.00 |