| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $50.74 | $50.74 | $108.66 |
Aetna
| Professional | $99.47 | $153.62 | $168.98 | |
BCBS
| Professional | $46.03 | $93.38 | $167.40 | |
Cigna
| Professional | $115.64 | $185.75 | $283.27 | |
Molina
| Professional | $32.34 | $72.00 | $159.24 | |
Providence
| Professional | $118.88 | $230.33 | $315.45 | |
United
| Professional | $128.47 | $156.63 | $309.72 |