| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.53 | $51.53 | $51.53 | |
Aetna
| Professional | $51.53 | $51.53 | $54.60 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $61.10 | $76.16 | $85.03 | |
United
| Professional | $49.50 | $59.60 | $96.81 |