| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.21 | $89.24 | $315.93 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Molina
| Professional | $68.77 | $88.11 | $113.17 | |
Regence BlueShield
| Professional | $87.90 | $130.65 | $155.66 | |
United
| Professional | $55.76 | $97.34 | $200.00 |