| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.71 | $117.96 | $161.62 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $71.61 | $86.03 | $101.21 | |
Regence BlueShield
| Professional | $126.85 | $148.00 | $190.20 | |
United
| Professional | $106.72 | $143.52 | $212.50 |