| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $247.04 | $4,580.54 | $5,519.00 | |
Moda Health
| Facility | $128.18 | $259.94 | $410.65 | |
Regence BlueShield
| Facility | $3,884.56 | $5,546.60 | $7,080.21 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |