| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $253.81 | $1,062.68 | $4,500.00 | |
Moda Health
| Facility | $95.18 | $213.29 | $893.01 | |
Regence BlueShield
| Facility | $1,263.85 | $2,002.36 | $2,746.53 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |