| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.66 | $1,648.82 | $2,161.71 | |
Aetna
| Professional | $314.66 | $314.66 | $314.66 | |
Molina
| Professional | $60.00 | $60.00 | $60.00 | |
Regence BlueShield
| Facility | $349.62 | $402.06 | $1,415.96 | |
Regence BlueShield
| Professional | $349.62 | $370.09 | $436.54 | |
United
| Professional | $146.84 | $146.84 | $209.77 |