| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.68 | $115.58 | $177.14 | |
Cigna
| Professional | $58.29 | $58.29 | $58.29 | |
Molina
| Professional | $30.00 | $60.00 | $127.02 | |
Regence BlueShield
| Professional | $157.16 | $157.16 | $157.16 | |
United
| Professional | $47.44 | $60.58 | $111.81 |