| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.93 | $302.93 | $302.93 | |
Aetna
| Professional | $285.77 | $376.69 | $376.69 | |
Moda Health
| Facility | $376.69 | $399.29 | $538.66 | |
Regence BlueShield
| Facility | $610.51 | $883.79 | $1,109.29 |