| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.36 | $45.12 | $435.33 | |
Moda Health
| Facility | $45.12 | $60.11 | $505.43 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Professional | $616.63 | $800.98 | $800.98 | |
United
| Professional | $63.23 | $89.38 | $142.36 |