| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.70 | $6,633.40 | $9,965.65 | |
Moda Health
| Facility | $164.19 | $217.08 | $275.32 | |
Regence BlueShield
| Facility | $4,781.66 | $7,272.33 | $9,472.49 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |