| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $508.95 | $1,057.09 | $1,316.71 | |
Regence BlueShield
| Facility | $3,379.50 | $4,245.60 | $7,005.24 | |
United
| Facility | $1,500.00 | $9,360.00 | $17,870.00 |