| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.06 | $51.06 | $107.23 |
Aetna
| Professional | $204.35 | $328.48 | $1,703.20 | |
BCBS
| Professional | $63.54 | $121.87 | $306.77 | |
Cigna
| Professional | $401.42 | $445.56 | $570.61 | |
Molina
| Professional | $32.34 | $105.00 | $385.15 | |
Providence
| Professional | $366.00 | $469.26 | $588.47 | |
United
| Professional | $253.39 | $321.27 | $581.29 |