| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $315.31 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $294.27 | $315.31 | $335.07 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $329.54 | $392.43 | $475.59 | |
United
| Professional | $315.48 | $345.02 | $688.33 |