| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $128.82 | $194.98 | $194.98 |
Aetna
| Professional | $275.42 | $446.68 | $812.83 | |
BCBS
| Professional | $851.14 | $851.14 | $851.14 | |
Cigna
| Professional | $223.87 | $512.86 | $954.99 | |
Molina
| Professional | $32.36 | $33.11 | $144.54 | |
United
| Professional | $275.42 | $389.05 | $1,000.00 |