| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $167.74 | $199.74 | $277.56 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Molina
| Professional | $143.23 | $172.06 | $202.42 | |
Regence BlueShield
| Professional | $214.41 | $252.00 | $326.63 | |
United
| Professional | $182.99 | $258.70 | $341.54 |