| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $4,900.84 | $5,390.92 | $7,425.00 | |
Moda Health
| Professional | $4,950.00 | $5,940.00 | $6,187.50 | |
Molina
| Professional | $30.00 | $30.00 | $9,652.50 | |
Regence BlueShield
| Professional | $7,397.83 | $7,397.83 | $7,645.30 | |
United
| Professional | $1,055.57 | $1,055.57 | $2,890.24 |