| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $649.01 | $649.01 | $5,519.00 | |
Aetna
| Professional | $27.58 | $27.58 | $649.01 | |
Moda Health
| Facility | $27.58 | $27.58 | $649.01 | |
Regence BlueShield
| Facility | $1,016.89 | $1,451.69 | $1,937.47 | |
United
| Facility | $1,800.00 | $8,244.00 | $9,193.00 |