| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.79 | $139.47 | $251.27 | |
Cigna
| Professional | $128.88 | $151.40 | $236.27 | |
Molina
| Professional | $91.70 | $115.57 | $144.86 | |
Regence BlueShield
| Professional | $198.55 | $247.10 | $280.02 | |
United
| Professional | $105.60 | $140.40 | $199.88 |