| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.32 | $20.32 | $43.21 |
Aetna
| Professional | $102.52 | $135.36 | $237.67 | |
BCBS
| Professional | $19.23 | $72.29 | $153.66 | |
Cigna
| Professional | $106.99 | $146.97 | $208.26 | |
Molina
| Professional | $32.29 | $32.34 | $152.34 | |
Providence
| Professional | $109.97 | $180.92 | $306.27 | |
United
| Professional | $100.99 | $128.47 | $267.02 |