| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.45 | $291.79 | $291.79 | |
Moda Health
| Facility | $139.38 | $291.79 | $417.26 | |
Moda Health
| Professional | $316.58 | $316.58 | $333.24 | |
Regence BlueShield
| Facility | $413.60 | $496.32 | $729.51 | |
Regence BlueShield
| Professional | $233.27 | $233.27 | $333.24 | |
United
| Professional | $130.16 | $291.75 | $436.55 |