| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $180.38 | $198.00 | $1,055.01 | |
Cigna
| Professional | $152.07 | $152.07 | $152.07 | |
Molina
| Professional | $112.44 | $144.46 | $192.62 | |
Regence BlueShield
| Professional | $179.94 | $248.56 | $264.20 | |
United
| Professional | $196.69 | $248.03 | $336.53 |