| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $11.22 | $12.59 | $15.85 |
Aetna
| Professional | $64.57 | $85.11 | $204.17 | |
BCBS
| Professional | $6.31 | $54.95 | $91.20 | |
Cigna
| Professional | $97.72 | $125.89 | $181.97 | |
Molina
| Professional | $32.36 | $33.11 | $66.07 | |
Providence
| Professional | $87.10 | $123.03 | $181.97 | |
United
| Professional | $70.79 | $79.43 | $141.25 |