| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $804.21 | $4,500.00 | $7,730.90 | |
Moda Health
| Facility | $390.71 | $585.79 | $865.04 | |
Regence BlueShield
| Facility | $6,236.68 | $8,818.74 | $11,812.34 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |