| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.55 | $235.55 | $330.56 | |
Cigna
| Professional | $169.47 | $263.88 | $391.32 | |
Molina
| Professional | $26.80 | $155.75 | $220.25 | |
Regence BlueShield
| Professional | $210.81 | $305.04 | $413.77 | |
United
| Professional | $216.15 | $235.80 | $471.61 |