| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.94 | $21.59 | $21.59 | |
Moda Health
| Facility | $20.54 | $22.89 | $30.87 | |
Moda Health
| Professional | $23.43 | $23.43 | $24.66 | |
Regence BlueShield
| Facility | $30.79 | $36.95 | $53.77 | |
Regence BlueShield
| Professional | $17.26 | $17.26 | $24.66 | |
United
| Professional | $9.63 | $21.74 | $32.29 |