| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $402.22 | $905.62 | $8,533.37 | |
Moda Health
| Facility | $257.07 | $522.74 | $761.03 | |
Regence BlueShield
| Facility | $4,781.66 | $7,029.90 | $9,472.49 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |