| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.19 | $106.93 | $186.87 | |
Cigna
| Professional | $108.50 | $143.47 | $189.26 | |
Molina
| Professional | $70.11 | $89.98 | $111.24 | |
Regence BlueShield
| Professional | $102.95 | $145.43 | $197.73 | |
United
| Professional | $104.49 | $127.04 | $198.19 |