| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $537.03 | $537.03 | $537.03 | |
Molina
| Professional | $32.36 | $50.12 | $75.86 | |
Regence BlueShield
| Facility | $4,466.84 | $4,466.84 | $4,466.84 | |
United
| Professional | $14.13 | $14.13 | $14.13 |