| 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 | $706.08 | $1,189.81 | $2,066.81 | |
Regence BlueShield
| Facility | $6,929.36 | $12,974.31 | $17,482.34 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |