| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.12 | $78.12 | $120.16 |
Aetna
| Professional | $276.19 | $329.84 | $522.50 | |
Anthem BCBS
| Professional | $346.56 | $410.01 | $635.51 | |
CareSource
| Professional | $75.54 | $208.37 | $330.94 | |
Cigna
| Facility | 26 | $87.60 | $87.60 | $87.60 |
Cigna
| Professional | $269.08 | $592.94 | $1,030.23 | |
United
| Professional | $289.70 | $475.53 | $816.09 |