| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.75 | $44.34 | $56.55 |
Aetna
| Professional | $109.90 | $185.59 | $255.03 | |
BCBS
| Professional | $159.00 | $159.00 | $159.00 | |
Cigna
| Professional | $89.16 | $150.82 | $202.66 | |
Molina
| Professional | $22.62 | $32.34 | $94.74 | |
United
| Professional | $83.62 | $130.34 | $210.82 |