| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $364.72 | $981.33 | $4,641.88 | |
Moda Health
| Facility | $136.86 | $337.14 | $824.65 | |
Regence BlueShield
| Facility | $1,657.94 | $2,392.64 | $3,575.46 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |