| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $147.44 | $236.20 | $866.17 | |
Cigna
| Professional | $183.99 | $255.48 | $417.81 | |
Molina
| Professional | $129.88 | $158.33 | $202.48 | |
Regence BlueShield
| Professional | $212.05 | $329.26 | $496.12 | |
United
| Professional | $191.11 | $238.02 | $376.42 |