| 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 | $155.96 | $507.12 | $1,907.81 | |
Regence BlueShield
| Facility | $3,884.56 | $5,546.60 | $7,080.21 | |
United
| Facility | $1,150.00 | $5,550.00 | $12,233.00 |