| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.11 | $338.84 | $338.84 | |
BCBS
| Professional | $141.25 | $141.25 | $173.78 | |
Moda Health
| Facility | $89.13 | $104.71 | $338.84 | |
Moda Health
| Professional | $85.11 | $104.71 | $338.84 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
Regence BlueShield
| Professional | $141.25 | $141.25 | $173.78 | |
United
| Professional | $75.86 | $123.03 | $144.54 |