| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $2,451.40 | $7,205.00 | |
Moda Health
| Facility | $212.37 | $313.20 | $400.91 | |
Regence BlueShield
| Facility | $4,781.66 | $7,272.33 | $9,472.49 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |