| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.57 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $242.68 | $260.57 | $276.87 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $539.07 | $755.46 | $1,100.93 | |
Regence BlueShield
| Professional | $289.20 | $324.30 | $393.02 | |
United
| Facility | $1,078.00 | $1,556.00 | $4,495.00 | |
United
| Professional | $260.70 | $347.59 | $586.15 |