| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.27 | $132.62 | $569.12 | |
Cigna
| Professional | $397.32 | $397.32 | $420.70 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 | |
Regence BlueShield
| Professional | $71.30 | $88.59 | $631.49 | |
United
| Professional | $45.49 | $52.58 | $94.57 |