| 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 | $429.40 | $693.81 | $892.45 | |
Regence BlueShield
| Facility | $6,662.17 | $14,097.25 | $17,807.80 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |