| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $337.57 | $337.57 | $337.57 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $97.21 | $108.01 | $146.22 | |
United
| Professional | $91.22 | $121.62 | $196.18 |