| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.79 | $228.38 | $579.49 | |
Cigna
| Professional | $157.60 | $244.21 | $428.63 | |
Molina
| Professional | $25.65 | $165.45 | $229.06 | |
Regence BlueShield
| Professional | $189.53 | $286.17 | $408.26 | |
United
| Professional | $196.48 | $271.02 | $443.52 |