| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.19 | $22.43 | $29.21 |
Aetna
| Professional | $67.58 | $75.84 | $130.56 | |
Anthem BCBS
| Professional | $60.30 | $72.98 | $112.01 | |
CareSource
| Professional | $24.38 | $33.92 | $104.43 | |
Cigna
| Facility | 26 | $25.82 | $25.82 | $25.82 |
Cigna
| Professional | $64.88 | $105.60 | $184.01 | |
Molina
| Professional | $22.18 | $32.34 | $42.58 | |
United
| Professional | $57.73 | $93.15 | $129.87 |