| 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 | $245.97 | $611.16 | $1,354.05 | |
Regence BlueShield
| Facility | $5,551.62 | $7,934.73 | $9,934.86 | |
United
| Facility | $9,360.00 | $17,585.00 | $18,758.00 |