| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $441.10 | $806.04 | $942.41 | |
Regence BlueShield
| Facility | $5,399.76 | $8,522.07 | $10,689.08 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |