| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.64 | $52.64 | $87.98 |
Aetna
| Professional | $101.88 | $113.87 | $182.21 | |
Ambetter
| Professional | $81.48 | $83.05 | $116.80 | |
Anthem BCBS
| Professional | $103.81 | $126.19 | $186.85 | |
CareSource
| Professional | $52.06 | $67.28 | $131.55 | |
Cigna
| Facility | 26 | $64.00 | $64.00 | $64.00 |
Cigna
| Professional | $111.00 | $150.44 | $246.55 | |
United
| Professional | $104.92 | $126.11 | $217.66 |