| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.88 | $21.88 | $38.90 |
Aetna
| Professional | $112.20 | $138.04 | $263.03 | |
BCBS
| Professional | $102.33 | $102.33 | $102.33 | |
Cigna
| Professional | $60.26 | $104.71 | $177.83 | |
Molina
| Professional | $32.36 | $33.11 | $81.28 | |
United
| Professional | $60.26 | $128.82 | $323.59 |