| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $663.44 | $2,349.38 | $10,508.66 | |
Moda Health
| Facility | $432.72 | $773.93 | $1,155.51 | |
Regence BlueShield
| Facility | $4,992.12 | $7,764.99 | $11,603.69 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |