| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.99 | $52.99 | $117.28 |
Aetna
| Professional | $256.92 | $377.09 | $436.50 | |
BCBS
| Professional | $61.07 | $131.72 | $423.52 | |
Cigna
| Professional | $371.53 | $500.76 | $604.38 | |
Molina
| Professional | $32.34 | $72.13 | $423.70 | |
Providence
| Professional | $371.53 | $500.76 | $604.38 | |
United
| Professional | $445.55 | $467.66 | $786.05 |