| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.40 | $444.24 | $444.24 | |
Aetna
| Professional | $298.52 | $320.39 | $444.24 | |
Moda Health
| Facility | $320.39 | $336.42 | $444.24 | |
Molina
| Professional | $30.00 | $55.00 | $3,900.00 | |
Regence BlueShield
| Facility | $332.39 | $424.73 | $655.09 |