| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.68 | $960.60 | $7,045.00 | |
Moda Health
| Facility | $128.66 | $416.12 | $1,552.25 | |
Regence BlueShield
| Facility | $1,250.53 | $1,837.93 | $2,746.53 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |