| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $6,056.73 | $8,583.73 | |
Moda Health
| Facility | $123.94 | $212.69 | $335.41 | |
Regence BlueShield
| Facility | $3,768.86 | $5,692.91 | $8,507.26 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |