| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.12 | $78.12 | $120.16 |
Aetna
| Professional | $328.05 | $367.50 | $487.65 | |
Anthem BCBS
| Professional | $341.88 | $410.01 | $582.21 | |
CareSource
| Professional | $75.54 | $276.85 | $407.43 | |
Cigna
| Facility | 26 | $87.95 | $87.95 | $87.95 |
Cigna
| Professional | $331.60 | $637.29 | $942.75 | |
United
| Professional | $361.40 | $489.73 | $837.02 |