| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $243.47 | $278.88 | $488.04 | |
Moda Health
| Professional | $352.30 | $352.30 | $352.30 | |
Molina
| Professional | $30.00 | $30.00 | $3,900.00 | |
Regence BlueShield
| Facility | $1,230.75 | $1,775.87 | $2,169.42 | |
United
| Professional | $406.51 | $433.60 | $433.60 |