| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.88 | $4,387.00 | $8,133.00 | |
Aetna
| Professional | $329.70 | $387.88 | $387.88 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $285.76 | $338.04 | $588.53 | |
United
| Facility | $658.00 | $4,445.00 | $4,912.00 | |
United
| Professional | $343.07 | $402.22 | $631.21 |