| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.80 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $192.80 | $239.29 | $279.22 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $6,690.52 | $8,774.59 | $12,787.09 | |
Regence BlueShield
| Professional | $35.26 | $319.80 | $433.72 | |
United
| Facility | $2,912.00 | $7,693.00 | $13,847.00 | |
United
| Professional | $241.49 | $347.43 | $510.93 |