| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $931.62 | $5,519.00 | $9,901.04 | |
Moda Health
| Facility | $359.10 | $550.79 | $975.99 | |
Regence BlueShield
| Facility | $4,571.62 | $7,239.58 | $9,755.03 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |