| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $408.95 | $853.70 | $1,007.17 | |
Moda Health
| Facility | $95.84 | $853.70 | $1,007.17 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $610.42 | $610.42 | $1,566.36 | |
United
| Professional | $714.48 | $1,126.67 | $1,593.84 |