| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $5,519.00 | $9,972.25 | |
Moda Health
| Facility | $778.61 | $1,255.56 | $2,059.63 | |
Regence BlueShield
| Facility | $9,788.65 | $12,974.31 | $17,482.34 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |