| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $298.52 | $298.52 | $298.52 | |
Aetna
| Professional | $298.52 | $320.39 | $444.24 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $270.95 | $350.98 | $485.03 | |
United
| Professional | $222.20 | $222.20 | $222.20 |