| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.31 | $40.31 | $40.31 | |
Aetna
| Professional | $38.15 | $40.31 | $40.31 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $42.64 | $53.33 | $94.98 | |
United
| Professional | $40.59 | $49.20 | $88.56 |