| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $947.45 | $947.45 | $4,014.43 | |
Molina
| Professional | $413.84 | $504.55 | $642.58 | |
Regence BlueShield
| Professional | $260.12 | $656.37 | $1,981.33 | |
United
| Professional | $701.25 | $915.28 | $1,529.99 |