| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.00 | $225.33 | $435.29 | |
Cigna
| Professional | $237.92 | $318.57 | $422.62 | |
Molina
| Professional | $176.70 | $216.51 | $269.67 | |
Regence BlueShield
| Professional | $222.51 | $315.50 | $434.73 | |
United
| Professional | $229.50 | $290.52 | $436.45 |