| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $247.84 | $405.90 | $655.30 | |
Regence BlueShield
| Facility | $4,260.25 | $8,585.95 | $11,346.40 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |