| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $49.00 | $49.00 | $83.11 |
Aetna
| Professional | $105.05 | $118.36 | $192.40 | |
Anthem BCBS
| Professional | $162.78 | $411.81 | $588.75 | |
CareSource
| Professional | $52.25 | $81.29 | $154.18 | |
Cigna
| Facility | 26 | $60.73 | $60.73 | $60.73 |
Cigna
| Professional | $116.76 | $287.83 | $858.03 | |
United
| Professional | $129.24 | $182.91 | $527.09 |