| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $187.64 | $225.83 | $225.83 | |
Moda Health
| Facility | $129.11 | $225.83 | $322.94 | |
Moda Health
| Professional | $245.01 | $245.01 | $257.89 | |
Regence BlueShield
| Facility | $319.98 | $383.97 | $564.28 | |
Regence BlueShield
| Professional | $180.53 | $180.53 | $257.89 | |
United
| Professional | $128.66 | $216.57 | $326.19 |