| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.66 | $61.66 | $61.66 |
Aetna
| Professional | $169.82 | $229.09 | $389.05 | |
BCBS
| Professional | $234.42 | $257.04 | $389.05 | |
Cigna
| Professional | $190.55 | $269.15 | $407.38 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $165.96 | $245.47 | $371.54 |