| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.12 | $50.12 | $87.10 |
Aetna
| Professional | $100.00 | $123.03 | $245.47 | |
BCBS
| Professional | $467.74 | $467.74 | $467.74 | |
Cigna
| Professional | $93.33 | $199.53 | $549.54 | |
Molina
| Professional | $32.36 | $33.11 | $50.12 | |
United
| Professional | $109.65 | $158.49 | $616.60 |