| 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 | $139.44 | $254.08 | $370.49 | |
Regence BlueShield
| Facility | $1,272.32 | $1,943.61 | $2,769.18 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |