| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,422.00 | $4,500.00 | $8,622.00 | |
Moda Health
| Facility | $346.87 | $529.33 | $760.43 | |
Regence BlueShield
| Facility | $2,922.67 | $4,081.78 | $5,001.00 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |