| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,663.41 | $3,205.54 | $3,205.54 | |
Moda Health
| Facility | $20.97 | $3,205.54 | $4,583.92 | |
Moda Health
| Professional | $550.53 | $2,745.60 | $3,660.81 | |
Regence BlueShield
| Facility | $4,542.91 | $5,451.50 | $8,013.84 | |
United
| Professional | $1,430.00 | $3,205.01 | $4,795.60 |