| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.37 | $143.72 | $770.21 | |
Cigna
| Professional | $108.92 | $108.92 | $108.92 | |
Molina
| Professional | $89.95 | $115.57 | $154.09 | |
Regence BlueShield
| Professional | $129.94 | $180.42 | $191.79 | |
United
| Professional | $143.63 | $183.04 | $251.13 |