| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $131.85 | $167.26 | $195.89 |
Aetna
| Professional | $475.00 | $559.09 | $818.33 | |
BCBS
| Professional | $756.00 | $756.00 | $756.00 | |
Cigna
| Professional | $278.49 | $614.05 | $955.00 | |
Molina
| Professional | $32.34 | $32.34 | $255.51 | |
United
| Professional | $346.29 | $443.66 | $963.94 |