| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.24 | $36.24 | $36.24 |
Aetna
| Professional | $51.85 | $59.34 | $108.65 | |
Aetna
| Professional | 26 | $36.24 | $42.62 | $70.61 |
BCBS
| Professional | $40.27 | $55.69 | $115.28 | |
Cigna
| Professional | $64.72 | $91.76 | $126.66 | |
Cigna
| Professional | 26 | $44.32 | $63.97 | $91.42 |
Molina
| Professional | $32.34 | $32.34 | $94.39 | |
Providence
| Professional | $64.72 | $92.37 | $141.47 | |
Providence
| Professional | 26 | $44.32 | $62.10 | $81.34 |
United
| Professional | $79.20 | $99.00 | $142.19 | |
United
| Professional | 26 | $57.35 | $70.40 | $103.67 |