| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $178.52 | $273.33 | $337.47 | |
Regence BlueShield
| Facility | $2,765.90 | $3,780.66 | $6,077.08 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |