| 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 | $206.71 | $339.39 | $656.73 | |
Regence BlueShield
| Facility | $2,757.99 | $4,992.12 | $8,875.60 | |
United
| Facility | $3,450.00 | $3,793.98 | $7,609.00 |