| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $27.81 | $27.81 | $58.84 |
Aetna
| Professional | $218.04 | $312.99 | $1,850.93 | |
BCBS
| Professional | $34.58 | $190.39 | $479.08 | |
Cigna
| Professional | $330.29 | $435.87 | $588.12 | |
Molina
| Professional | $32.34 | $57.10 | $399.95 | |
Providence
| Professional | $289.92 | $482.57 | $588.12 | |
United
| Professional | $260.25 | $273.94 | $628.44 |