| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.56 | $205.39 | $792.82 | |
Cigna
| Professional | $154.81 | $217.29 | $340.29 | |
Molina
| Professional | $25.98 | $120.45 | $190.84 | |
Regence BlueShield
| Professional | $201.04 | $276.45 | $392.20 | |
United
| Professional | $151.47 | $183.60 | $295.80 |