| 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 | $567.02 | $858.51 | $1,079.55 | |
Regence BlueShield
| Facility | $9,958.84 | $14,025.11 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |