| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $264.86 | $298.58 | $315.18 | |
Molina
| Professional | $45.00 | $45.00 | $284.05 | |
Regence BlueShield
| Professional | $146.84 | $180.20 | $522.03 | |
United
| Professional | $304.10 | $333.95 | $648.48 |