| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.61 | $75.61 | $100.74 | |
Moda Health
| Professional | $100.74 | $100.74 | $100.74 | |
Molina
| Professional | $32.34 | $32.34 | $55.77 | |
Regence BlueShield
| Professional | $78.11 | $85.63 | $94.18 | |
United
| Professional | $26.22 | $30.44 | $47.44 |