| 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 | $786.21 | $1,408.00 | $2,475.58 | |
Regence BlueShield
| Facility | $9,660.78 | $13,168.12 | $17,807.80 | |
United
| Facility | $10,120.00 | $22,317.00 | $27,159.00 |