| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $153.80 | $216.30 | $451.79 | |
Cigna
| Professional | $184.52 | $255.46 | $398.47 | |
Molina
| Professional | $126.32 | $157.59 | $202.48 | |
Regence BlueShield
| Professional | $222.07 | $292.79 | $398.65 | |
United
| Professional | $189.10 | $275.19 | $452.60 |