| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.72 | $38.72 | $38.72 | |
Aetna
| Professional | $37.04 | $38.72 | $38.72 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $58.21 | $72.58 | $104.20 | |
Regence BlueShield
| Professional | $43.43 | $48.26 | $48.26 | |
United
| Professional | $39.27 | $47.60 | $71.81 |