| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.71 | $20.71 | $34.65 |
Aetna
| Professional | $152.30 | $206.24 | $259.27 | |
Anthem BCBS
| Professional | $140.71 | $333.91 | $500.86 | |
CareSource
| Professional | $21.78 | $205.01 | $267.99 | |
Cigna
| Professional | $102.53 | $195.29 | $440.76 | |
United
| Professional | $137.15 | $202.69 | $331.82 |