| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.50 | $3,303.82 | $4,331.54 | |
Aetna
| Professional | $630.50 | $630.50 | $630.50 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $700.56 | $805.64 | $840.67 | |
Regence BlueShield
| Professional | $637.14 | $725.59 | $971.49 | |
United
| Professional | $294.24 | $294.24 | $420.34 |