| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.26 | $45.26 | $45.26 | |
Aetna
| Professional | $37.04 | $45.26 | $49.32 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $186.54 | $242.20 | $352.96 | |
Regence BlueShield
| Professional | $40.67 | $56.32 | $68.65 | |
United
| Professional | $41.54 | $58.03 | $85.01 |