| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.87 | $0.87 | $0.87 | |
Aetna
| Professional | $0.82 | $0.85 | $0.88 | |
Moda Health
| Facility | $0.87 | $0.90 | $1.12 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Facility | $120.16 | $172.95 | $263.64 |