| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.71 | $45.71 | $45.71 |
Aetna
| Professional | $56.23 | $64.57 | $87.10 | |
Aetna
| Professional | 26 | $38.02 | $44.67 | $58.88 |
BCBS
| Professional | $60.26 | $64.57 | $81.28 | |
BCBS
| Professional | 26 | $41.69 | $44.67 | $57.54 |
Cigna
| Professional | $67.61 | $79.43 | $125.89 | |
Cigna
| Professional | 26 | $48.98 | $56.23 | $89.13 |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $54.95 | $67.61 | $109.65 | |
United
| Professional | 26 | $39.81 | $48.98 | $79.43 |