| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,985.43 | $1,985.43 | $1,985.43 | |
Molina
| Professional | $259.16 | $300.79 | $436.39 | |
Regence BlueShield
| Professional | $501.29 | $800.90 | $942.23 | |
United
| Professional | $379.50 | $473.45 | $828.00 |