| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,072.28 | $1,784.85 | $3,399.40 | |
Regence BlueShield
| Facility | $9,817.25 | $17,382.52 | $31,188.68 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |