| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.99 | $23.99 | $23.99 | |
BCBS
| Facility | $24.55 | $26.92 | $34.67 | |
Moda Health
| Facility | $25.12 | $25.12 | $35.48 | |
Moda Health
| Professional | $23.99 | $23.99 | $23.99 | |
Regence BlueShield
| Facility | $41.69 | $41.69 | $41.69 | |
United
| Professional | $29.51 | $33.11 | $35.48 |