| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $282.72 | $282.72 | $282.72 | |
Molina
| Professional | $44.29 | $57.64 | $75.44 | |
Regence BlueShield
| Facility | $522.74 | $651.80 | $935.77 | |
Regence BlueShield
| Professional | $105.66 | $117.40 | $313.41 | |
United
| Professional | $49.83 | $77.02 | $108.73 |