| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $125.89 | $125.89 | $138.04 | |
BCBS
| Facility | $107.15 | $141.25 | $239.88 | |
BCBS
| Professional | $169.82 | $169.82 | $169.82 | |
Moda Health
| Facility | $64.57 | $125.89 | $177.83 | |
Moda Health
| Professional | $100.00 | $125.89 | $125.89 | |
Regence BlueShield
| Facility | $117.49 | $117.49 | $117.49 | |
Select Health
| Professional | $128.82 | $147.91 | $208.93 | |
United
| Professional | $147.91 | $165.96 | $177.83 |