| 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 | $272.00 | $389.89 | $892.95 | |
Regence BlueShield
| Facility | $15,375.00 | $22,219.06 | $27,222.84 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |