| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.04 | $22.96 | $28.36 | |
Moda Health
| Facility | $19.52 | $24.11 | $31.30 | |
Moda Health
| Professional | $26.16 | $26.16 | $26.16 | |
Molina
| Professional | $30.00 | $30.00 | $78.00 | |
Regence BlueShield
| Facility | $67.98 | $95.55 | $118.78 | |
Regence BlueShield
| Professional | $30.45 | $35.82 | $40.83 | |
United
| Facility | $3,700.00 | $15,298.00 | $26,104.00 | |
United
| Professional | $25.49 | $31.75 | $44.07 |