| 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 | $429.58 | $755.74 | $989.03 | |
Regence BlueShield
| Facility | $10,480.23 | $22,875.82 | $28,539.36 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |