| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $265.48 | $1,280.49 | $2,091.08 | |
Cigna
| Professional | $236.78 | $1,714.11 | $2,282.51 | |
Molina
| Professional | $786.31 | $990.65 | $1,331.05 | |
Regence BlueShield
| Professional | $257.22 | $538.39 | $3,306.21 | |
United
| Professional | $1,333.53 | $1,554.14 | $2,998.24 |