| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.20 | $70.81 | $97.97 |
Aetna
| Professional | $102.53 | $185.80 | $347.66 | |
Anthem BCBS
| Professional | $130.43 | $161.69 | $690.78 | |
CareSource
| Professional | $57.29 | $71.78 | $142.44 | |
Cigna
| Facility | 26 | $60.80 | $60.80 | $60.80 |
Cigna
| Professional | $117.40 | $299.82 | $768.69 | |
Molina
| Professional | $32.34 | $32.34 | $353.96 | |
United
| Professional | $110.17 | $182.98 | $498.06 |