| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $128.82 | $186.21 | $524.81 | |
Cigna
| Professional | $204.17 | $223.87 | $446.68 | |
Molina
| Professional | $32.36 | $33.11 | $64.57 | |
Premera BCBS
| Professional | $194.98 | $309.03 | $407.38 | |
Regence BlueShield
| Professional | $199.53 | $275.42 | $371.54 | |
United
| Professional | $144.54 | $229.09 | $398.11 | |
Wellpoint
| Professional | $173.78 | $204.17 | $288.40 |