| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $838.83 | $838.83 | $5,519.00 | |
Moda Health
| Facility | $405.77 | $610.89 | $902.27 | |
Regence BlueShield
| Facility | $4,693.55 | $8,522.07 | $10,689.08 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |