| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.75 | $78.75 | $116.66 |
Aetna
| Professional | $130.66 | $138.58 | $154.49 | |
Anthem BCBS
| Professional | $113.15 | $205.83 | $277.87 | |
CareSource
| Professional | $69.03 | $93.19 | $184.61 | |
Cigna
| Professional | $153.28 | $181.26 | $291.27 | |
United
| Professional | $135.38 | $163.56 | $270.24 |