| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,059.63 | $2,059.63 | $22,335.10 | |
Molina
| Professional | $2,517.42 | $3,102.59 | $4,038.15 | |
Regence BlueShield
| Professional | $516.86 | $1,080.64 | $9,202.96 | |
United
| Professional | $3,839.54 | $4,728.01 | $8,377.19 |