| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.70 | $1,315.64 | $1,822.61 | |
Aetna
| Professional | $313.70 | $313.70 | $442.31 | |
Molina
| Professional | $45.00 | $60.00 | $282.29 | |
Regence BlueShield
| Professional | $359.05 | $442.42 | $465.69 | |
United
| Professional | $359.05 | $359.05 | $359.05 |