| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.55 | $40.54 | $51.71 |
Aetna
| Professional | $88.90 | $154.31 | $207.42 | |
BCBS
| Professional | $443.00 | $443.00 | $443.00 | |
Cigna
| Professional | $85.50 | $190.30 | $493.46 | |
Molina
| Professional | $21.06 | $32.34 | $80.56 | |
United
| Professional | $102.48 | $135.72 | $537.00 |