| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $93.85 | $109.91 | $141.90 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $71.61 | $86.03 | $101.21 | |
Regence BlueShield
| Professional | $126.85 | $148.00 | $191.44 | |
United
| Professional | $104.13 | $141.57 | $209.62 |