| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.08 | $3,038.00 | $4,387.00 | |
Aetna
| Professional | $362.45 | $431.08 | $468.68 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $450.52 | $500.58 | $570.29 | |
United
| Facility | $2,312.00 | $2,446.00 | $13,847.00 | |
United
| Professional | $405.17 | $522.79 | $885.82 |