| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.81 | $265.57 | $1,446.39 | |
Cigna
| Professional | $194.32 | $194.32 | $194.32 | |
Molina
| Professional | $157.42 | $202.25 | $269.67 | |
Regence BlueShield
| Professional | $237.84 | $333.38 | $354.37 | |
United
| Professional | $269.58 | $336.99 | $444.82 |