| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.16 | $69.16 | $69.16 | |
Aetna
| Professional | $36.40 | $69.16 | $86.73 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
Regence BlueShield
| Professional | $39.64 | $44.18 | $86.09 | |
United
| Professional | $13.54 | $76.15 | $95.96 |