| 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 | $882.29 | $1,593.47 | $1,716.64 | |
Regence BlueShield
| Facility | $9,660.78 | $14,097.25 | $17,807.80 | |
United
| Facility | $5,550.00 | $12,152.00 | $12,233.00 |