| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,575.67 | $1,575.67 | $5,519.00 | |
Aetna
| Professional | $1,575.67 | $1,575.67 | $1,575.67 | |
Moda Health
| Facility | $1,575.67 | $1,575.67 | $1,575.67 | |
Regence BlueShield
| Facility | $3,306.03 | $4,697.79 | $5,755.74 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |