| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.38 | $38.52 | $49.13 |
Aetna
| Professional | $111.52 | $189.21 | $263.75 | |
BCBS
| Professional | $103.00 | $103.00 | $103.00 | |
Cigna
| Professional | $59.96 | $105.84 | $161.50 | |
Molina
| Professional | $19.98 | $32.34 | $101.31 | |
United
| Professional | $54.35 | $129.24 | $333.36 |