| 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 | $848.74 | $1,452.38 | $2,102.48 | |
Regence BlueShield
| Facility | $6,662.17 | $14,097.25 | $17,807.80 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |