| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $163.71 | $227.31 | $423.18 | |
Cigna
| Professional | $234.26 | $313.30 | $412.56 | |
Molina
| Professional | $176.70 | $216.51 | $269.67 | |
Regence BlueShield
| Professional | $218.82 | $312.73 | $429.60 | |
United
| Professional | $228.09 | $285.11 | $428.13 |