| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.04 | $414.03 | $5,519.00 | |
Moda Health
| Facility | $167.49 | $266.88 | $445.35 | |
Regence BlueShield
| Facility | $5,206.57 | $8,585.95 | $11,346.40 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |