| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.02 | $2,922.00 | $4,387.00 | |
Aetna
| Professional | $74.86 | $80.31 | $85.49 | |
Molina
| Professional | $30.00 | $30.00 | $60.00 | |
Regence BlueShield
| Facility | $103.48 | $114.71 | $147.01 | |
Regence BlueShield
| Professional | $83.07 | $92.30 | $104.54 | |
United
| Professional | $81.94 | $86.98 | $140.30 |