| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $62.45 | $62.45 | $106.03 |
Aetna
| Professional | $111.69 | $126.25 | $153.66 | |
Anthem BCBS
| Professional | $116.16 | $123.80 | $191.89 | |
CareSource
| Professional | $60.61 | $81.56 | $162.61 | |
Cigna
| Facility | 26 | $78.58 | $78.58 | $78.58 |
Cigna
| Professional | $115.23 | $160.96 | $283.23 | |
United
| Professional | $110.41 | $141.33 | $239.84 |