| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.47 | $231.01 | $1,407.00 | |
Moda Health
| Facility | $108.62 | $209.26 | $380.45 | |
Regence BlueShield
| Facility | $3,671.73 | $4,962.96 | $6,186.02 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |