| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.01 | $136.02 | $173.49 |
Aetna
| Professional | $569.27 | $839.09 | $1,259.73 | |
BCBS
| Professional | $857.00 | $857.00 | $857.00 | |
Cigna
| Professional | $643.52 | $1,081.32 | $1,526.57 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $540.69 | $763.28 | $1,590.18 |