| 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 | $221.57 | $376.22 | $896.26 | |
Regence BlueShield
| Facility | $2,887.06 | $4,049.93 | $4,961.97 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |