| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Moda Health
| Facility | $521.05 | $805.38 | $1,056.57 | |
Regence BlueShield
| Facility | $5,920.51 | $12,222.47 | $15,458.09 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |