| 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 | $112.41 | $183.87 | $353.98 | |
Regence BlueShield
| Facility | $1,263.85 | $1,837.93 | $2,746.53 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |