| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.27 | $48.27 | $81.63 |
Aetna
| Professional | $101.47 | $113.68 | $204.88 | |
Anthem BCBS
| Professional | $162.47 | $436.70 | $620.11 | |
CareSource
| Professional | $51.32 | $75.33 | $146.56 | |
Cigna
| Facility | 26 | $60.76 | $60.76 | $60.76 |
Cigna
| Professional | $112.17 | $277.83 | $858.61 | |
United
| Professional | $118.09 | $177.46 | $527.63 |