| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $159.63 | $256.75 | $934.05 | |
Cigna
| Professional | $207.72 | $301.01 | $506.01 | |
Molina
| Professional | $27.68 | $185.41 | $254.26 | |
Regence BlueShield
| Professional | $232.94 | $395.58 | $614.04 | |
United
| Professional | $232.94 | $284.76 | $460.73 |