| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,924.17 | $1,924.17 | $1,924.17 | |
Molina
| Professional | $259.28 | $299.47 | $433.68 | |
Regence BlueShield
| Professional | $698.86 | $865.95 | $1,109.88 | |
United
| Professional | $360.69 | $439.20 | $659.52 |