| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.61 | $133.63 | $351.74 | |
Cigna
| Professional | $82.90 | $157.13 | $273.83 | |
Molina
| Professional | $92.16 | $115.00 | $148.82 | |
Regence BlueShield
| Professional | $82.26 | $164.85 | $254.64 | |
United
| Professional | $130.90 | $181.72 | $250.46 |