| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.50 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $91.08 | $98.50 | $106.20 | |
Molina
| Professional | $30.00 | $60.00 | $184.67 | |
Regence BlueShield
| Professional | $109.27 | $121.41 | $144.74 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $86.08 | $102.97 | $167.53 |