| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.84 | $47.84 | $81.42 |
Aetna
| Professional | $95.46 | $111.08 | $207.32 | |
Anthem BCBS
| Professional | $156.99 | $430.64 | $689.02 | |
CareSource
| Professional | $50.59 | $68.48 | $138.52 | |
Cigna
| Facility | 26 | $60.80 | $60.80 | $60.80 |
Cigna
| Professional | $105.74 | $273.17 | $857.41 | |
United
| Professional | $114.02 | $177.30 | $553.17 |