| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $189.21 | $189.21 | $189.21 | |
Aetna
| Professional | $128.38 | $189.21 | $219.91 | |
Regence BlueShield
| Facility | $248.20 | $275.13 | $351.95 | |
Regence BlueShield
| Professional | $150.53 | $150.53 | $150.53 | |
United
| Professional | $156.18 | $177.00 | $335.90 |