| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.49 | $50.49 | $55.54 | |
Moda Health
| Facility | $50.49 | $53.52 | $72.20 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Facility | $77.59 | $110.92 | $143.93 |