| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.15 | $32.15 | $4,000.00 | |
Hally Health
| Professional | $277.39 | $277.39 | $506.66 | |
Moda Health
| Facility | $12.13 | $22.39 | $83.92 | |
Regence BlueShield
| Facility | $993.04 | $1,339.30 | $1,677.94 |