| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.79 | $104.79 | $104.79 | |
Moda Health
| Facility | $88.53 | $104.79 | $115.27 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Professional | $140.30 | $140.30 | $164.35 | |
United
| Professional | $97.30 | $121.62 | $145.94 |