| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $110.60 | $214.84 | $359.30 | |
Cigna
| Professional | $128.26 | $216.25 | $355.55 | |
Molina
| Professional | $115.96 | $147.62 | $187.35 | |
Regence BlueShield
| Professional | $131.19 | $199.93 | $339.05 | |
United
| Professional | $191.97 | $248.04 | $355.58 |