| 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 | $168.81 | $245.26 | $436.77 | |
Regence BlueShield
| Facility | $4,505.95 | $8,522.07 | $10,689.08 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |