| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.63 | $145.63 | $145.63 | |
Aetna
| Professional | $139.13 | $145.63 | $145.63 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $162.69 | $180.78 | $180.78 | |
United
| Professional | $147.84 | $161.68 | $270.32 |