| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.56 | $86.56 | $86.56 | |
Aetna
| Professional | $81.98 | $86.56 | $90.81 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
Regence BlueShield
| Facility | $186.54 | $242.20 | $352.96 | |
Regence BlueShield
| Professional | $73.08 | $91.00 | $121.82 | |
United
| Professional | $79.20 | $95.04 | $140.87 |