| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $105.91 | $135.12 | $193.26 | |
Cigna
| Professional | $126.76 | $158.44 | $247.05 | |
Molina
| Professional | $68.77 | $86.94 | $115.57 | |
Regence BlueShield
| Professional | $135.03 | $175.62 | $199.49 | |
United
| Professional | $103.50 | $135.24 | $204.76 |