| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.23 | $56.23 | $56.23 | |
Aetna
| Professional | $56.23 | $56.23 | $59.36 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $66.23 | $77.92 | $84.64 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $54.12 | $65.59 | $100.84 |