| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.22 | $23.71 | $44.66 |
Aetna
| Professional | $34.08 | $53.15 | $103.64 | |
Aetna
| Professional | 26 | $20.53 | $24.97 | $44.66 |
BCBS
| Professional | $48.00 | $48.00 | $48.00 | |
Cigna
| Professional | $43.90 | $61.59 | $72.30 | |
Cigna
| Professional | 26 | $22.77 | $32.47 | $51.72 |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $36.81 | $46.63 | $73.98 | |
United
| Professional | 26 | $19.77 | $26.01 | $39.76 |