| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $31.72 | $31.72 | $53.40 |
Aetna
| Professional | $131.38 | $169.21 | $284.83 | |
BCBS
| Professional | $169.00 | $169.00 | $169.00 | |
Cigna
| Professional | $116.44 | $165.87 | $253.94 | |
Molina
| Professional | $32.34 | $32.34 | $106.62 | |
United
| Professional | $108.56 | $140.26 | $216.59 |