| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Moda Health
| Facility | $96.62 | $210.55 | $321.38 | |
Regence BlueShield
| Facility | $2,658.42 | $5,546.60 | $7,080.21 | |
United
| Facility | $350.00 | $2,620.00 | $4,441.00 |