| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.00 | $79.00 | $79.00 | |
Moda Health
| Facility | $79.00 | $83.74 | $112.97 | |
Regence BlueShield
| Facility | $279.14 | $395.47 | $697.88 | |
United
| Professional | $195.94 | $235.13 | $235.13 |