| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $457.88 | $457.88 | $5,519.00 | |
Moda Health
| Facility | $195.25 | $333.44 | $414.16 | |
Regence BlueShield
| Facility | $3,671.73 | $4,962.96 | $6,186.02 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |