| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,038.00 | $3,977.00 | $5,743.00 | |
Aetna
| Professional | $2,843.00 | $2,843.00 | $4,387.00 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $56.00 | $76.04 | $110.81 |