| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.62 | $20.62 | $20.62 | |
Aetna
| Professional | $19.41 | $20.62 | $20.86 | |
Moda Health
| Facility | $20.62 | $22.11 | $29.83 | |
Molina
| Professional | $78.00 | $78.00 | $78.00 | |
Regence BlueShield
| Facility | $14.46 | $21.69 | $38.32 | |
United
| Professional | $19.64 | $19.64 | $19.64 |