| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.09 | $39.09 | $84.90 |
Aetna
| Professional | $88.82 | $188.50 | $230.92 | |
BCBS
| Professional | $38.61 | $84.92 | $182.06 | |
Cigna
| Professional | $109.82 | $250.68 | $394.91 | |
Molina
| Professional | $32.34 | $66.18 | $140.36 | |
Providence
| Professional | $145.07 | $247.23 | $340.93 | |
United
| Professional | $133.16 | $255.50 | $367.46 |