| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $781.83 | $1,381.27 | $2,420.21 | |
Regence BlueShield
| Facility | $3,800.99 | $4,775.12 | $7,878.94 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |