| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $573.46 | $573.46 | $573.46 | |
Moda Health
| Professional | $1,466.16 | $1,466.16 | $1,753.68 | |
Pacific Source
| Facility | $272.44 | $272.44 | $79,999.20 | |
Regence BlueShield
| Professional | $1,829.41 | $1,829.41 | $3,079.58 | |
United
| Professional | $991.65 | $991.65 | $1,081.81 |