| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $142.19 | $320.35 | $770.53 | |
Regence BlueShield
| Facility | $2,666.37 | $3,858.04 | $5,765.31 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |