| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $79.43 | $79.43 |
Aetna
| Professional | $100.00 | $141.25 | $407.38 | |
BCBS
| Professional | $39.81 | $87.10 | $194.98 | |
Cigna
| Professional | $97.72 | $158.49 | $257.04 | |
Molina
| Professional | $32.36 | $33.11 | $109.65 | |
Providence
| Professional | $97.72 | $158.49 | $239.88 | |
United
| Professional | $123.03 | $144.54 | $239.88 |