| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.74 | $51.93 | $70.40 |
Aetna
| Professional | $107.27 | $137.76 | $230.92 | |
Anthem BCBS
| Professional | $133.30 | $173.30 | $709.83 | |
CareSource
| Professional | $56.81 | $69.81 | $146.37 | |
Cigna
| Facility | 26 | $61.14 | $61.14 | $61.14 |
Cigna
| Professional | $121.22 | $304.67 | $768.69 | |
Molina
| Professional | $32.34 | $32.34 | $353.96 | |
United
| Professional | $121.32 | $199.04 | $492.29 |