| 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 | $56.00 | $76.04 | $110.81 | |
Regence BlueShield
| Professional | $28.95 | $50.89 | $68.65 | |
United
| Professional | $41.54 | $54.27 | $86.42 |