| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.53 | $43.95 | $56.06 |
Aetna
| Professional | $109.75 | $124.22 | $261.99 | |
BCBS
| Professional | $161.00 | $161.00 | $161.00 | |
Cigna
| Professional | $92.35 | $148.86 | $211.15 | |
Molina
| Professional | $22.37 | $32.34 | $99.68 | |
United
| Professional | $84.45 | $132.00 | $201.41 |