| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $23.99 | $24.55 | $45.71 |
Aetna
| Professional | $83.18 | $100.00 | $213.80 | |
Anthem BCBS
| Professional | $131.83 | $134.90 | $741.31 | |
CareSource
| Professional | $23.44 | $31.62 | $37.15 | |
Cigna
| Facility | 26 | $6.17 | $28.84 | $40.74 |
Cigna
| Professional | $107.15 | $446.68 | $2,187.76 | |
Molina
| Professional | $32.36 | $33.11 | $354.81 | |
United
| Professional | $102.33 | $181.97 | $489.78 |