| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $47,929.79 | $59,764.31 | $85,800.24 | |
Regence BlueShield
| Professional | $237.84 | $354.57 | $475.59 | |
United
| Professional | $277.24 | $345.02 | $688.33 |