| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $368.88 | $678.67 | $945.55 | |
Regence BlueShield
| Facility | $1,657.94 | $2,392.64 | $3,575.46 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |