| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $3,977.00 | $5,743.00 | |
Aetna
| Professional | $39.83 | $78.30 | $356.40 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $41.42 | $56.46 | $82.27 |