| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.32 | $14.32 | $14.32 | |
Aetna
| Professional | $14.32 | $23.87 | $32.34 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $19.95 | $34.47 | $39.95 | |
United
| Professional | $2.67 | $18.18 | $33.78 |