| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $421.20 | $421.20 | $421.20 | |
Aetna
| Professional | $421.20 | $450.00 | $450.00 | |
Moda Health
| Facility | $450.00 | $477.00 | $643.50 | |
Regence BlueShield
| Facility | $873.97 | $1,222.66 | $1,502.42 | |
Regence BlueShield
| Professional | $450.00 | $450.00 | $672.62 | |
United
| Professional | $489.81 | $580.04 | $823.39 |