| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.08 | $40.13 | $97.78 | |
Cigna
| Professional | $168.33 | $168.33 | $201.68 | |
Molina
| Professional | $24.25 | $29.37 | $36.68 | |
Regence BlueShield
| Professional | $61.13 | $77.58 | $91.27 | |
United
| Professional | $30.40 | $48.46 | $72.14 |