| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.22 | $34.22 | $72.08 |
Aetna
| Professional | $274.72 | $364.18 | $438.62 | |
BCBS
| Professional | $32.33 | $128.71 | $406.84 | |
Cigna
| Professional | $306.49 | $489.23 | $639.76 | |
Molina
| Professional | $32.34 | $55.78 | $442.58 | |
Providence
| Professional | $356.60 | $614.35 | $880.66 | |
United
| Professional | $345.41 | $374.60 | $883.88 |