| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.12 | $25.12 | $43.65 |
Aetna
| Professional | $109.65 | $128.82 | $204.17 | |
BCBS
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $83.18 | $141.25 | $208.93 | |
Molina
| Professional | $32.36 | $33.11 | $77.62 | |
United
| Professional | $79.43 | $123.03 | $177.83 |