| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $130.05 | $170.60 | $255.69 | |
Cigna
| Professional | $164.03 | $214.48 | $317.85 | |
Molina
| Professional | $124.55 | $155.39 | $199.70 | |
Regence BlueShield
| Professional | $206.58 | $249.18 | $292.02 | |
United
| Professional | $146.54 | $180.45 | $360.00 |