| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.24 | $631.16 | $1,552.51 | |
Cigna
| Professional | $105.73 | $918.62 | $1,687.63 | |
Molina
| Professional | $586.48 | $751.94 | $955.83 | |
Regence BlueShield
| Professional | $123.78 | $199.86 | $1,697.50 | |
United
| Professional | $801.05 | $1,200.32 | $2,021.82 |