| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $423.65 | $659.35 | $783.76 | |
Aetna
| Professional | $771.68 | $771.68 | $771.68 | |
Molina
| Professional | $45.00 | $60.00 | $664.19 | |
Regence BlueShield
| Professional | $883.24 | $1,088.33 | $1,145.56 | |
United
| Professional | $883.24 | $883.24 | $883.24 |