| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $5,251.88 | $6,548.64 | $9,401.51 | |
Regence BlueShield
| Professional | $135.15 | $166.65 | $188.44 | |
United
| Professional | $107.58 | $135.69 | $234.72 |