| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.40 | $65.53 | $84.20 | |
Moda Health
| Facility | $23.94 | $65.53 | $84.20 | |
Moda Health
| Professional | $8.88 | $8.88 | $8.88 | |
Molina
| Professional | $11.95 | $30.00 | $3,500.00 | |
Regence BlueShield
| Professional | $49.05 | $57.71 | $130.22 | |
United
| Professional | $71.81 | $76.15 | $122.38 |