| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.80 | $2,248.40 | $7,215.60 | |
Moda Health
| Facility | $249.21 | $408.73 | $709.75 | |
Regence BlueShield
| Facility | $4,571.62 | $7,239.58 | $9,755.03 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |