| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.72 | $20.72 | $20.72 | |
Aetna
| Professional | $16.57 | $17.61 | $20.72 | |
Moda Health
| Facility | $17.61 | $18.89 | $25.48 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Facility | $0.78 | $1.10 | $413.05 | |
United
| Professional | $20.72 | $20.72 | $20.72 |