| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.70 | $107.64 | $119.40 |
Aetna
| Professional | $210.04 | $458.29 | $508.38 | |
BCBS
| Professional | $211.00 | $211.00 | $211.00 | |
Cigna
| Professional | $73.76 | $136.24 | $375.34 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $89.26 | $196.10 | $450.40 |