| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.74 | $243.36 | $393.69 | |
Cigna
| Professional | $141.40 | $260.18 | $439.95 | |
Molina
| Professional | $25.54 | $162.83 | $226.42 | |
Regence BlueShield
| Professional | $177.44 | $258.02 | $431.16 | |
United
| Professional | $226.80 | $284.69 | $516.95 |