| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,767.95 | $7,205.00 | |
Moda Health
| Facility | $255.59 | $472.88 | $811.41 | |
Regence BlueShield
| Facility | $3,671.73 | $5,048.97 | $6,186.02 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |