| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $558.96 | $1,089.38 | $7,205.00 | |
Moda Health
| Facility | $361.27 | $612.00 | $1,004.13 | |
Regence BlueShield
| Facility | $4,992.12 | $7,764.99 | $11,603.69 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |