| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.33 | $30.33 | $30.33 | |
Aetna
| Professional | $30.33 | $40.96 | $49.32 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $56.00 | $76.04 | $110.81 | |
Regence BlueShield
| Professional | $40.67 | $56.32 | $68.65 | |
United
| Professional | $41.19 | $57.29 | $85.01 |