| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.03 | $15.14 | $15.14 | |
Moda Health
| Facility | $15.49 | $15.49 | $16.22 | |
Moda Health
| Professional | $6.03 | $15.14 | $15.14 | |
Providence
| Facility | $15.49 | $16.22 | $56.23 | |
Providence
| Professional | $79.43 | $79.43 | $79.43 | |
Regence BlueShield
| Professional | $16.60 | $17.38 | $17.38 |