| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.06 | $270.70 | $423.06 | |
Cigna
| Professional | $125.89 | $347.79 | $553.52 | |
Molina
| Professional | $205.94 | $258.09 | $331.13 | |
Regence BlueShield
| Professional | $128.13 | $205.91 | $451.73 | |
United
| Professional | $275.06 | $333.58 | $625.48 |