| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.68 | $378.00 | $378.00 | |
Aetna
| Professional | $38.00 | $50.50 | $378.00 | |
Moda Health
| Professional | $202.95 | $313.68 | $382.53 | |
Molina
| Professional | $30.00 | $55.00 | $190.81 | |
Regence BlueShield
| Professional | $306.00 | $351.00 | $420.00 | |
United
| Professional | $38.00 | $55.00 | $74.00 |