| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,175.77 | $6,175.77 | $6,175.77 | |
Molina
| Professional | $620.17 | $806.98 | $1,078.69 | |
Regence BlueShield
| Professional | $1,417.27 | $1,848.20 | $2,091.09 | |
United
| Professional | $1,047.08 | $1,336.66 | $1,764.39 |