| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.37 | $227.05 | $523.41 | |
Cigna
| Professional | $176.37 | $262.13 | $485.79 | |
Molina
| Professional | $25.65 | $165.45 | $229.06 | |
Regence BlueShield
| Professional | $210.81 | $316.54 | $430.52 | |
United
| Professional | $204.45 | $280.79 | $465.30 |