| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.34 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $233.46 | $250.34 | $266.02 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $261.63 | $311.55 | $377.60 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $250.47 | $310.02 | $546.48 |