| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.00 | $6,181.60 | $9,302.95 | |
Moda Health
| Facility | $460.15 | $857.32 | $1,229.82 | |
Regence BlueShield
| Facility | $4,992.12 | $7,764.99 | $11,603.69 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |