| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.68 | $6.68 | $39.17 | |
Aetna
| Professional | $6.68 | $435.35 | $800.52 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $44.12 | $584.96 | $1,280.85 | |
United
| Professional | $51.13 | $1,105.20 | $1,670.39 |