| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.98 | $1,589.40 | $5,519.00 | |
Moda Health
| Facility | $107.45 | $229.32 | $539.35 | |
Regence BlueShield
| Facility | $2,184.67 | $3,897.74 | $4,961.97 | |
United
| Facility | $2,620.00 | $17,585.00 | $18,758.00 |