| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.00 | $25.00 | $42.17 |
Aetna
| Professional | $98.47 | $121.77 | $153.44 | |
Anthem BCBS
| Professional | $85.47 | $96.07 | $150.68 | |
CareSource
| Professional | $26.20 | $111.49 | $159.11 | |
Cigna
| Facility | 26 | $30.72 | $30.72 | $30.72 |
Cigna
| Professional | $95.46 | $129.81 | $250.14 | |
United
| Professional | $92.92 | $123.87 | $215.31 |