| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $60.26 | $60.26 | $117.49 |
Aetna
| Professional | $114.82 | $151.36 | $239.88 | |
BCBS
| Professional | $263.03 | $263.03 | $263.03 | |
Cigna
| Professional | $123.03 | $204.17 | $263.03 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $117.49 | $158.49 | $281.84 |