| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,415.98 | $2,415.98 | $2,415.98 | |
Molina
| Professional | $45.00 | $60.00 | $695.95 | |
Regence BlueShield
| Facility | $897.56 | $1,133.73 | $1,789.84 | |
Regence BlueShield
| Professional | $526.95 | $709.05 | $784.71 | |
United
| Professional | $424.62 | $474.83 | $626.99 |