| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.79 | $100.79 | $100.79 | |
Aetna
| Professional | $100.79 | $100.79 | $100.79 | |
Regence BlueShield
| Facility | $214.50 | $296.77 | $426.07 | |
United
| Professional | $96.13 | $101.19 | $101.19 |