| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,559.04 | $8,439.00 | $19,690.00 | |
Moda Health
| Facility | $1,152.38 | $1,865.08 | $3,277.67 | |
Regence BlueShield
| Facility | $14,190.95 | $23,146.31 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |