| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $111.32 | $209.09 | $618.91 | |
Cigna
| Professional | $148.24 | $254.96 | $398.00 | |
Molina
| Professional | $25.65 | $140.51 | $194.07 | |
Regence BlueShield
| Professional | $166.61 | $267.39 | $428.66 | |
United
| Professional | $192.20 | $275.10 | $446.41 |