| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,407.00 | $4,500.00 | $7,045.00 | |
Hally Health
| Professional | $1,116.42 | $1,116.42 | $1,303.32 | |
Moda Health
| Facility | $162.32 | $498.73 | $1,529.42 | |
Regence BlueShield
| Facility | $1,231.43 | $1,594.64 | $2,085.51 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |