| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $112.20 | $112.20 | $112.20 |
Aetna
| Professional | $323.59 | $398.11 | $537.03 | |
BCBS
| Professional | $229.09 | $371.54 | $501.19 | |
Cigna
| Professional | $251.19 | $416.87 | $758.58 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $251.19 | $380.19 | $630.96 |