| 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 | $456.68 | $796.50 | $1,630.47 | |
Regence BlueShield
| Facility | $5,040.66 | $7,582.86 | $9,755.03 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |