| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.55 | $40.54 | $51.71 |
Aetna
| Professional | $49.09 | $64.05 | $118.00 | |
BCBS
| Professional | $102.00 | $102.00 | $102.00 | |
Cigna
| Professional | $46.47 | $81.23 | $115.30 | |
Molina
| Professional | $26.27 | $32.34 | $46.85 | |
United
| Professional | $47.57 | $65.66 | $129.61 |