| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $616.60 | $616.60 | |
Aetna
| Professional | $38.02 | $56.23 | $630.96 | |
Molina
| Professional | $141.25 | $316.23 | $575.44 | |
Regence BlueShield
| Professional | $346.74 | $426.58 | $537.03 | |
United
| Professional | $38.02 | $50.12 | $79.43 |