| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $83.59 | $125.29 | $359.50 | |
Cigna
| Professional | $113.94 | $176.84 | $318.39 | |
Molina
| Professional | $139.05 | $179.97 | $222.49 | |
Regence BlueShield
| Professional | $131.03 | $203.18 | $279.80 | |
United
| Professional | $139.74 | $188.60 | $303.60 |