| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $576.44 | $4,500.00 | $7,250.32 | |
Moda Health
| Facility | $185.16 | $392.72 | $620.04 | |
Regence BlueShield
| Facility | $15,375.00 | $22,219.06 | $27,222.84 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |