| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $477.41 | $477.41 | $477.41 | |
Aetna
| Professional | $323.87 | $477.41 | $554.89 | |
Regence BlueShield
| Facility | $625.22 | $693.08 | $888.73 | |
Regence BlueShield
| Professional | $379.20 | $379.20 | $379.20 | |
United
| Professional | $394.10 | $446.64 | $847.59 |