| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $364.75 | $754.01 | $1,317.72 | |
Regence BlueShield
| Facility | $1,657.94 | $2,653.49 | $4,560.42 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |