| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $3,323.10 | $4,320.03 | $4,752.03 | |
Moda Health
| Professional | $2,215.40 | $2,215.40 | $2,658.48 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
Regence BlueShield
| Professional | $3,310.86 | $3,310.86 | $3,421.99 | |
United
| Professional | $930.47 | $930.47 | $2,547.71 |