| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $403.69 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $339.70 | $403.69 | $439.27 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $422.25 | $469.17 | $534.07 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $379.44 | $526.32 | $908.16 |