| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.92 | $35.92 | $35.92 | |
Aetna
| Professional | $27.73 | $27.73 | $35.92 | |
Moda Health
| Facility | $27.73 | $27.73 | $35.49 | |
Regence BlueShield
| Facility | $66.15 | $95.96 | $117.76 |