| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.16 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $185.16 | $185.16 | $201.31 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $1,837.00 | $2,290.58 | $3,288.46 | |
Regence BlueShield
| Professional | $218.11 | $254.31 | $272.76 | |
United
| Professional | $178.20 | $216.00 | $325.83 |