| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $115.97 | $164.64 | $686.00 | |
Cigna
| Professional | $132.58 | $194.91 | $284.62 | |
Molina
| Professional | $95.82 | $122.33 | $150.06 | |
Regence BlueShield
| Professional | $167.09 | $231.69 | $359.59 | |
United
| Professional | $132.30 | $161.13 | $249.38 |