| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $96.84 | $128.33 | $187.31 | |
Cigna
| Professional | $115.35 | $151.83 | $222.08 | |
Molina
| Professional | $74.89 | $100.12 | $131.97 | |
Regence BlueShield
| Professional | $126.20 | $158.19 | $201.62 | |
United
| Professional | $118.47 | $135.60 | $266.36 |