| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.32 | $37.32 | $37.32 | |
Aetna
| Professional | $33.79 | $37.32 | $46.01 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $74.41 | $74.41 | $74.41 | |
Regence BlueShield
| Professional | $42.06 | $46.73 | $57.34 | |
United
| Professional | $26.83 | $36.76 | $64.81 |