| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.04 | $55.04 | $55.04 | |
Aetna
| Professional | $26.37 | $43.22 | $55.04 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $92.09 | $116.32 | $169.01 | |
Regence BlueShield
| Professional | $28.95 | $50.89 | $68.65 | |
United
| Professional | $41.54 | $54.29 | $85.01 |