| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.13 | $166.99 | $1,018.21 | |
Cigna
| Professional | $135.10 | $135.10 | $135.10 | |
Molina
| Professional | $112.44 | $144.46 | $192.62 | |
Regence BlueShield
| Professional | $159.26 | $209.62 | $222.82 | |
United
| Professional | $184.55 | $237.29 | $315.60 |