| 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 | $127.66 | $340.09 | $981.99 | |
Regence BlueShield
| Facility | $1,272.32 | $1,853.08 | $2,769.18 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |