| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $26.12 | $28.83 | $63.30 |
Aetna
| Professional | $169.28 | $206.10 | $452.57 | |
BCBS
| Professional | $267.00 | $267.00 | $267.00 | |
Cigna
| Professional | $188.04 | $291.95 | $554.32 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $143.25 | $246.28 | $392.93 |