| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $58.71 | $64.14 | $140.85 |
Aetna
| Professional | $394.83 | $513.03 | $867.00 | |
Aetna
| Professional | 26 | $64.14 | $69.18 | $140.85 |
Aetna
| Professional | TC | $330.69 | $399.20 | $726.15 |
BCBS
| Professional | $594.00 | $594.00 | $594.00 | |
Cigna
| Professional | $446.15 | $749.83 | $1,058.58 | |
Cigna
| Professional | 26 | $69.86 | $119.07 | $163.09 |
Cigna
| Professional | TC | $376.29 | $632.49 | $890.48 |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $374.88 | $529.28 | $1,102.03 | |
United
| Professional | 26 | $58.90 | $78.77 | $172.56 |
United
| Professional | TC | $301.27 | $434.16 | $927.58 |