| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,699.15 | $3,699.15 | $3,699.15 | |
Moda Health
| Facility | $3,699.15 | $4,069.07 | $8,152.50 | |
Moda Health
| Professional | $5,435.00 | $6,522.00 | $6,793.75 | |
Molina
| Professional | $30.00 | $30.00 | $10,598.25 | |
Regence BlueShield
| Professional | $8,122.68 | $8,122.68 | $8,394.81 | |
United
| Professional | $796.74 | $796.74 | $2,181.55 |