| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.75 | $78.75 | $116.66 |
Aetna
| Professional | $178.64 | $229.17 | $254.26 | |
Anthem BCBS
| Professional | $143.58 | $262.31 | $372.48 | |
CareSource
| Professional | $78.89 | $193.89 | $302.60 | |
Cigna
| Professional | $196.48 | $263.17 | $406.11 | |
United
| Professional | $175.93 | $222.67 | $389.80 |