| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.72 | $34.72 | $58.80 |
Aetna
| Professional | $81.98 | $91.52 | $115.31 | |
Anthem BCBS
| Professional | $101.10 | $115.89 | $173.83 | |
CareSource
| Professional | $36.96 | $61.03 | $111.35 | |
Cigna
| Facility | 26 | $43.40 | $43.40 | $43.40 |
Cigna
| Professional | $86.97 | $128.87 | $212.48 | |
United
| Professional | $85.59 | $105.35 | $162.91 |