| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.75 | $30.75 | $30.75 | |
Moda Health
| Facility | $29.19 | $30.75 | $43.97 | |
Regence BlueShield
| Facility | $44.94 | $44.94 | $69.37 | |
United
| Professional | $24.28 | $29.14 | $33.99 |