| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,383.34 | $1,383.34 | $5,519.00 | |
Aetna
| Professional | $655.61 | $655.61 | $1,383.34 | |
Moda Health
| Facility | $655.61 | $655.61 | $839.18 | |
Regence BlueShield
| Facility | $1,734.94 | $3,749.50 | $4,629.45 | |
United
| Facility | $3,450.00 | $6,124.00 | $7,609.00 |