| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.66 | $61.66 | $61.66 | |
Aetna
| Professional | $42.66 | $63.10 | $70.79 | |
Molina
| Professional | $30.20 | $44.67 | $60.26 | |
Regence BlueShield
| Professional | $63.10 | $74.13 | $100.00 | |
Select Health
| Professional | $52.48 | $58.88 | $66.07 | |
United
| Professional | $64.57 | $69.18 | $114.82 |