| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $400.13 | $652.28 | $1,062.35 | |
Regence BlueShield
| Facility | $7,786.30 | $16,141.46 | $20,737.38 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |