| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $492.08 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $284.91 | $492.08 | $525.77 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $288.17 | $393.39 | $650.99 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $425.77 | $552.04 | $969.80 |