| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.49 | $466.47 | $5,519.00 | |
Hally Health
| Professional | $592.42 | $592.42 | $720.08 | |
Moda Health
| Facility | $135.55 | $311.44 | $686.91 | |
Regence BlueShield
| Facility | $1,442.94 | $1,983.04 | $2,470.40 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |