| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.93 | $22.93 | $39.14 |
Aetna
| Professional | $86.51 | $97.41 | $182.22 | |
Anthem BCBS
| Professional | $131.46 | $372.61 | $553.50 | |
CareSource
| Professional | $24.61 | $82.33 | $127.93 | |
Cigna
| Facility | 26 | $29.00 | $29.00 | $29.00 |
Cigna
| Professional | $97.06 | $235.76 | $806.44 | |
United
| Professional | $107.43 | $154.25 | $495.30 |