| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.16 | $143.16 | $143.16 | |
Molina
| Professional | $22.63 | $28.95 | $39.23 | |
Regence BlueShield
| Professional | $38.54 | $40.96 | $68.84 | |
United
| Professional | $24.90 | $31.40 | $49.68 |