| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $178.80 | $178.80 | $1,062.78 | |
Cigna
| Professional | $150.88 | $150.88 | $150.88 | |
Molina
| Professional | $112.44 | $144.46 | $192.62 | |
Regence BlueShield
| Professional | $180.28 | $224.46 | $238.59 | |
United
| Professional | $198.13 | $247.72 | $326.91 |