| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $977.09 | $977.09 | $977.09 | |
Aetna
| Professional | $719.19 | $1,052.08 | $2,159.84 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $756.56 | $1,031.20 | $1,502.75 | |
United
| Professional | $711.04 | $711.04 | $711.04 |