| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.92 | $89.70 | $329.39 | |
Aetna
| Professional | 52 | $28.23 | $39.10 | $57.74 |
Cigna
| Professional | $81.17 | $115.33 | $161.13 | |
Molina
| Professional | $48.51 | $61.16 | $72.32 | |
Regence BlueShield
| Professional | $116.87 | $152.76 | $188.74 | |
United
| Professional | $63.18 | $92.48 | $124.44 |