| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,083.45 | $1,083.45 | $10,435.50 | |
Molina
| Professional | $807.22 | $985.51 | $1,285.95 | |
Regence BlueShield
| Professional | $297.83 | $733.20 | $5,728.48 | |
United
| Professional | $1,626.09 | $2,582.64 | $3,921.12 |