| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $112.20 | $193.05 | $568.50 | |
Cigna
| Professional | $147.04 | $189.46 | $271.79 | |
Molina
| Professional | $68.77 | $86.94 | $115.57 | |
Regence BlueShield
| Professional | $148.41 | $198.20 | $239.41 | |
United
| Professional | $122.45 | $161.94 | $234.43 |