| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.74 | $72.04 | $100.79 |
Aetna
| Professional | $105.05 | $117.85 | $358.98 | |
Anthem BCBS
| Professional | $138.37 | $179.88 | $711.30 | |
CareSource
| Professional | $56.56 | $72.56 | $140.24 | |
Cigna
| Facility | 26 | $60.73 | $60.73 | $60.73 |
Cigna
| Professional | $128.77 | $309.14 | $805.54 | |
Molina
| Professional | $32.34 | $32.34 | $353.96 | |
United
| Professional | $122.37 | $202.93 | $509.32 |