| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.00 | $25.00 | $42.42 |
Aetna
| Professional | $102.16 | $117.69 | $146.77 | |
Anthem BCBS
| Professional | $94.86 | $106.03 | $158.19 | |
CareSource
| Professional | $26.67 | $95.23 | $151.25 | |
Cigna
| Facility | 26 | $31.07 | $31.07 | $31.07 |
Cigna
| Professional | $99.39 | $139.94 | $234.90 | |
United
| Professional | $95.68 | $129.81 | $208.45 |