| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $235.58 | $235.58 | $235.58 | |
Cigna
| Professional | $214.36 | $260.89 | $361.20 | |
Molina
| Professional | $32.99 | $134.39 | $202.90 | |
Regence BlueShield
| Professional | $272.64 | $375.87 | $399.55 | |
United
| Professional | $169.02 | $188.91 | $328.10 |