| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.36 | $32.36 | $32.36 |
Aetna
| Professional | $56.23 | $95.50 | $190.55 | |
BCBS
| Professional | $67.61 | $177.83 | $269.15 | |
Cigna
| Professional | $75.86 | $165.96 | $275.42 | |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $79.43 | $134.90 | $239.88 |