| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.29 | $51.29 | $79.43 |
Aetna
| Professional | $57.54 | $66.07 | $89.13 | |
Aetna
| Professional | 26 | $39.81 | $45.71 | $61.66 |
BCBS
| Professional | $141.25 | $141.25 | $141.25 | |
Cigna
| Professional | $60.26 | $83.18 | $123.03 | |
Cigna
| Professional | 26 | $42.66 | $61.66 | $87.10 |
Molina
| Professional | $32.36 | $33.11 | $33.11 | |
United
| Professional | $56.23 | $72.44 | $104.71 | |
United
| Professional | 26 | $39.81 | $51.29 | $77.62 |