| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $40.74 | $40.74 | $70.79 |
Aetna
| Professional | $93.33 | $114.82 | $177.83 | |
BCBS
| Professional | $288.40 | $288.40 | $288.40 | |
Cigna
| Professional | $79.43 | $154.88 | $275.42 | |
Molina
| Professional | $32.36 | $33.11 | $50.12 | |
United
| Professional | $91.20 | $125.89 | $302.00 |