| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,500.00 | $12,214.00 | $27,982.24 | |
Aetna
| Professional | $1,420.00 | $1,420.00 | $27,982.24 | |
Asuris Northwest Health
| Professional | $75.00 | $100.00 | $555.35 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
United
| Facility | $703.00 | $2,446.00 | $36,803.00 |