| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.19 | $331.75 | $1,260.00 | |
Cigna
| Professional | $199.09 | $199.09 | $199.09 | |
Molina
| Professional | $157.42 | $202.25 | $269.67 | |
Regence BlueShield
| Professional | $237.50 | $295.37 | $313.98 | |
United
| Professional | $262.73 | $328.41 | $433.50 |