| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $4,805.00 | $6,899.00 | |
Moda Health
| Facility | $1,582.92 | $2,288.14 | $2,627.88 | |
Regence BlueShield
| Facility | $19,831.58 | $27,841.54 | $35,402.06 | |
United
| Facility | $11,800.00 | $29,854.00 | $42,618.00 |