| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,846.14 | $4,846.14 | $4,846.14 | |
Molina
| Professional | $659.74 | $765.06 | $1,109.84 | |
Regence BlueShield
| Professional | $1,221.90 | $1,888.15 | $2,221.35 | |
United
| Professional | $926.31 | $1,144.41 | $2,021.05 |