| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $286.98 | $947.80 | $2,565.42 | |
Regence BlueShield
| Facility | $3,177.80 | $4,962.96 | $6,186.02 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |