| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.58 | $62.58 | $132.13 |
Aetna
| Professional | $495.97 | $791.24 | $4,219.21 | |
BCBS
| Professional | $79.06 | $204.82 | $1,107.76 | |
Cigna
| Professional | $757.47 | $1,020.94 | $1,226.53 | |
Molina
| Professional | $32.34 | $129.01 | $918.13 | |
Providence
| Professional | $757.47 | $1,020.94 | $1,226.53 | |
United
| Professional | $588.51 | $651.20 | $1,432.12 |