| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $5,571.33 | $6,899.00 | |
Moda Health
| Facility | $712.62 | $1,215.95 | $1,749.35 | |
Regence BlueShield
| Facility | $5,040.66 | $7,582.86 | $9,755.03 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |