| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $129.32 | $129.32 | $770.21 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Molina
| Professional | $89.95 | $115.57 | $154.09 | |
Regence BlueShield
| Professional | $130.63 | $162.35 | $172.59 | |
United
| Professional | $143.63 | $179.55 | $237.01 |