| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,628.00 | $4,500.00 | $7,205.00 | |
Hally Health
| Professional | $2,467.19 | $2,467.19 | $2,505.51 | |
Moda Health
| Facility | $442.97 | $1,866.46 | $6,593.25 | |
Regence BlueShield
| Facility | $6,631.49 | $13,217.86 | $17,141.09 | |
United
| Facility | $11,800.00 | $26,422.00 | $29,092.00 |