| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,897.00 | $4,500.00 | $7,761.00 | |
Moda Health
| Facility | $846.70 | $1,479.68 | $2,157.16 | |
Regence BlueShield
| Facility | $57,122.37 | $79,913.78 | $97,910.53 | |
United
| Facility | $14,540.00 | $147,043.00 | $163,191.00 |