| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.15 | $37.15 | $37.15 |
Aetna
| Professional | $177.83 | $218.78 | $338.84 | |
BCBS
| Professional | $204.17 | $263.03 | $467.74 | |
Cigna
| Professional | $229.09 | $288.40 | $537.03 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $204.17 | $263.03 | $398.11 |