| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $876.05 | $876.05 | $876.05 | |
Aetna
| Professional | $356.04 | $540.96 | $876.05 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Facility | $544.36 | $980.47 | $1,428.83 | |
United
| Professional | $747.40 | $747.40 | $747.40 |