| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.09 | $51.09 | $86.01 |
Aetna
| Professional | $59.26 | $71.30 | $120.03 | |
Aetna
| Professional | 26 | $42.62 | $51.09 | $86.01 |
BCBS
| Professional | $142.00 | $142.00 | $142.00 | |
Cigna
| Professional | $59.97 | $83.67 | $119.53 | |
Cigna
| Professional | 26 | $42.26 | $61.35 | $85.82 |
Molina
| Professional | $32.34 | $32.34 | $51.82 | |
United
| Professional | $56.52 | $73.40 | $109.27 | |
United
| Professional | 26 | $40.19 | $51.88 | $80.11 |