| 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 | $221.99 | $457.67 | $987.51 | |
Regence BlueShield
| Facility | $3,177.80 | $4,962.96 | $6,186.02 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |