| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $22.93 | $22.93 | $38.65 |
Aetna
| Professional | $50.01 | $56.08 | $68.97 | |
Anthem BCBS
| Professional | $56.58 | $70.48 | $109.25 | |
CareSource
| Professional | $24.30 | $39.34 | $73.36 | |
Cigna
| Facility | 26 | $28.28 | $28.28 | $28.28 |
Cigna
| Professional | $54.15 | $77.76 | $135.38 | |
United
| Professional | $52.39 | $65.19 | $108.49 |