| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,666.91 | $1,666.91 | $6,746.85 | |
Molina
| Professional | $709.50 | $853.00 | $1,107.24 | |
Regence BlueShield
| Professional | $452.56 | $882.07 | $3,291.57 | |
United
| Professional | $1,178.09 | $1,490.22 | $2,570.40 |