| 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 | $130.96 | $185.93 | $279.45 | |
Regence BlueShield
| Facility | $1,246.64 | $1,753.89 | $2,148.87 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |