| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $385.57 | $385.57 | $385.57 | |
Aetna
| Professional | $280.86 | $412.43 | $412.43 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $352.57 | $458.95 | $668.83 | |
United
| Professional | $174.73 | $174.73 | $174.73 |