| 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 | $348.88 | $1,030.89 | $3,905.93 | |
Regence BlueShield
| Facility | $2,666.37 | $3,858.04 | $5,765.31 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |