| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.09 | $118.44 | $254.46 | |
Cigna
| Professional | $47.17 | $148.55 | $293.51 | |
Molina
| Professional | $114.21 | $143.96 | $185.53 | |
Regence BlueShield
| Professional | $58.81 | $88.85 | $286.48 | |
United
| Professional | $129.05 | $176.80 | $293.70 |