| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,415.00 | $4,500.00 | $8,439.00 | |
Moda Health
| Facility | $1,619.55 | $3,033.66 | $4,595.45 | |
Regence BlueShield
| Facility | $12,154.00 | $18,005.02 | $22,534.79 | |
United
| Facility | $2,600.00 | $11,800.00 | $29,092.00 |