| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $362.65 | $412.15 | $1,977.26 | |
Cigna
| Professional | $309.19 | $309.19 | $309.19 | |
Molina
| Professional | $224.88 | $288.93 | $385.24 | |
Regence BlueShield
| Professional | $366.42 | $517.38 | $549.96 | |
United
| Professional | $368.47 | $594.36 | $735.11 |