| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $140.50 | $296.88 | $613.87 | |
Regence BlueShield
| Facility | $736.08 | $1,041.84 | $1,617.28 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |