| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $38.60 | $38.60 | $83.93 |
Aetna
| Professional | $84.35 | $186.16 | $228.05 | |
BCBS
| Professional | $38.46 | $79.75 | $151.38 | |
Cigna
| Professional | $105.34 | $242.58 | $395.28 | |
Molina
| Professional | $32.34 | $66.78 | $136.77 | |
Providence
| Professional | $139.15 | $238.00 | $335.16 | |
United
| Professional | $128.12 | $220.01 | $366.87 |