| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.28 | $4,387.00 | $8,133.00 | |
Aetna
| Professional | $212.24 | $224.28 | $224.28 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $164.76 | $219.24 | $340.28 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $191.52 | $232.56 | $364.95 |