| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $363.64 | $363.64 | $5,519.00 | |
Moda Health
| Facility | $197.64 | $289.69 | $391.14 | |
Regence BlueShield
| Facility | $4,781.66 | $7,272.33 | $9,472.49 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |