| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $678.27 | $678.27 | $678.27 | |
Aetna
| Professional | $308.72 | $333.97 | $678.27 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $521.41 | $650.16 | $933.39 | |
United
| Professional | $636.29 | $636.29 | $636.29 |