| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,805.00 | $16,537.30 | $16,537.30 | |
Aetna
| Professional | $912.27 | $912.27 | $16,537.30 | |
Moda Health
| Facility | $912.27 | $1,167.71 | $1,669.45 | |
Regence BlueShield
| Facility | $31,610.23 | $44,515.87 | $57,287.30 | |
United
| Facility | $12,000.00 | $62,445.00 | $76,459.00 |