| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $667.48 | $3,497.59 | $4,585.59 | |
Aetna
| Professional | $667.48 | $667.48 | $667.48 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $741.64 | $852.89 | $889.97 | |
Regence BlueShield
| Professional | $674.48 | $767.99 | $1,028.83 | |
United
| Professional | $311.49 | $311.49 | $444.98 |