| 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 | $650.91 | $1,236.81 | $1,636.43 | |
Regence BlueShield
| Facility | $18,946.55 | $23,802.20 | $39,273.62 | |
United
| Facility | $4,800.00 | $12,000.00 | $65,746.00 |