| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.38 | $317.38 | $317.38 | |
Aetna
| Professional | $249.76 | $317.38 | $339.88 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $807.52 | $1,019.99 | $1,480.97 | |
Regence BlueShield
| Professional | $333.67 | $370.74 | $419.87 | |
United
| Professional | $280.06 | $329.12 | $580.79 |