| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.57 | $264.83 | $1,411.48 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Molina
| Professional | $157.42 | $202.25 | $269.67 | |
Regence BlueShield
| Professional | $236.81 | $332.45 | $353.39 | |
United
| Professional | $263.08 | $329.58 | $448.33 |