| 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 | $926.86 | $926.86 | $1,082.03 | |
Moda Health
| Facility | $223.77 | $744.85 | $2,647.11 | |
Regence BlueShield
| Facility | $5,638.71 | $8,818.74 | $11,812.34 | |
United
| Facility | $9,360.00 | $16,762.00 | $17,870.00 |