| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.14 | $61.14 | $61.14 | |
Aetna
| Professional | $59.02 | $65.16 | $69.97 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $66.53 | $73.92 | $81.28 | |
United
| Professional | $65.23 | $69.29 | $111.77 |