| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.59 | $18.59 | $39.79 |
Aetna
| Professional | $76.48 | $123.37 | $123.37 | |
BCBS
| Professional | $18.25 | $69.26 | $150.07 | |
Cigna
| Professional | $98.05 | $212.86 | $366.23 | |
Molina
| Professional | $31.17 | $32.34 | $123.41 | |
Providence
| Professional | $127.29 | $214.20 | $289.95 | |
United
| Professional | $117.29 | $226.50 | $341.24 |