| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $101.55 | $240.08 | $639.34 | |
Regence BlueShield
| Facility | $1,132.46 | $1,498.24 | $1,929.30 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |