| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.38 | $69.47 | $116.24 | |
Cigna
| Professional | $76.70 | $76.70 | $76.70 | |
Molina
| Professional | $30.00 | $45.00 | $131.22 | |
Regence BlueShield
| Professional | $96.17 | $106.86 | $140.74 | |
United
| Professional | $80.80 | $97.65 | $139.50 |