| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Molina
| Facility | $4,168.69 | $4,168.69 | $4,168.69 | |
Regence BlueShield
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
United
| Facility | $851.14 | $1,096.48 | $2,818.38 |