| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.75 | $30.99 | $30.99 | |
Moda Health
| Facility | $29.49 | $32.85 | $44.32 | |
Moda Health
| Professional | $33.63 | $33.63 | $35.40 | |
Regence BlueShield
| Facility | $44.10 | $52.92 | $77.17 | |
Regence BlueShield
| Professional | $24.78 | $24.78 | $35.40 | |
United
| Professional | $13.83 | $30.99 | $46.35 |