| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $114.49 | $126.58 | $153.86 | |
Cigna
| Professional | $120.05 | $159.41 | $253.60 | |
Molina
| Professional | $49.93 | $65.67 | $98.49 | |
Regence BlueShield
| Professional | $140.00 | $182.09 | $251.31 | |
United
| Professional | $101.60 | $151.19 | $205.84 |