| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.44 | $48.44 | $81.39 |
Aetna
| Professional | $100.35 | $116.13 | $209.93 | |
Anthem BCBS
| Professional | $160.44 | $430.99 | $689.58 | |
CareSource
| Professional | $50.57 | $72.15 | $142.94 | |
Cigna
| Facility | 26 | $61.14 | $61.14 | $61.14 |
Cigna
| Professional | $110.18 | $275.72 | $857.13 | |
United
| Professional | $122.42 | $177.39 | $530.08 |