| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $79.43 | $79.43 |
Aetna
| Professional | $177.83 | $239.88 | $524.81 | |
BCBS
| Professional | $38.90 | $144.54 | $251.19 | |
Cigna
| Professional | $331.13 | $389.05 | $467.74 | |
Molina
| Professional | $32.36 | $33.11 | $151.36 | |
Providence
| Professional | $218.78 | $371.54 | $467.74 | |
United
| Professional | $199.53 | $263.03 | $389.05 |