| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,694.07 | $2,779.91 | $5,519.00 | |
Moda Health
| Facility | $734.77 | $1,266.23 | $2,990.16 | |
Regence BlueShield
| Facility | $1,125.01 | $1,125.01 | $1,250.01 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |