| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.90 | $5.90 | $5.90 | |
Moda Health
| Facility | $5.61 | $6.25 | $103.62 | |
Moda Health
| Professional | $6.40 | $6.40 | $6.74 | |
Regence BlueShield
| Facility | $8.33 | $9.99 | $14.81 | |
Regence BlueShield
| Professional | $4.72 | $4.72 | $6.74 | |
United
| Professional | $3.36 | $5.90 | $8.52 |