| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.04 | $1,106.40 | $4,070.42 | |
Moda Health
| Facility | $122.79 | $365.00 | $929.75 | |
Regence BlueShield
| Facility | $1,272.32 | $1,855.38 | $2,769.18 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |