| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.51 | $124.13 | $180.16 | |
Cigna
| Professional | $110.61 | $143.29 | $196.26 | |
Molina
| Professional | $68.77 | $86.85 | $113.17 | |
Regence BlueShield
| Professional | $117.05 | $152.24 | $182.58 | |
United
| Professional | $90.83 | $120.13 | $176.79 |