| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.41 | $88.00 | $239.00 | |
Cigna
| Professional | $47.91 | $47.91 | $75.00 | |
Molina
| Professional | $38.76 | $53.04 | $62.52 | |
Regence BlueShield
| Professional | $69.01 | $69.01 | $76.69 | |
United
| Professional | $38.90 | $51.00 | $82.49 |