| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.37 | $212.06 | $581.52 | |
Cigna
| Professional | $136.97 | $241.63 | $387.36 | |
Molina
| Professional | $140.22 | $179.97 | $222.49 | |
Regence BlueShield
| Professional | $160.04 | $258.30 | $435.84 | |
United
| Professional | $179.18 | $242.76 | $415.36 |