| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $798.15 | $798.15 | $5,519.00 | |
Aetna
| Professional | $287.56 | $287.56 | $798.15 | |
Moda Health
| Facility | $287.56 | $287.56 | $368.08 | |
Regence BlueShield
| Facility | $1,146.09 | $1,853.08 | $2,769.18 | |
United
| Facility | $2,620.00 | $4,150.00 | $4,441.00 |