| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $337.29 | $405.94 | $405.94 | |
Moda Health
| Facility | $152.96 | $405.94 | $580.49 | |
Moda Health
| Professional | $440.42 | $440.42 | $463.60 | |
Regence BlueShield
| Facility | $575.46 | $690.56 | $1,014.78 | |
Regence BlueShield
| Professional | $324.52 | $324.52 | $463.60 | |
United
| Professional | $181.09 | $408.69 | $659.66 |