| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $398.11 | $416.87 | $416.87 |
Aetna
| Professional | $1,258.93 | $1,513.56 | $2,630.27 | |
BCBS
| Professional | $2,951.21 | $2,951.21 | $2,951.21 | |
Cigna
| Professional | $1,288.25 | $1,995.26 | $2,454.71 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $1,288.25 | $1,659.59 | $3,235.94 |