| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $102.82 | $102.82 | $152.79 |
Aetna
| Professional | $220.00 | $291.86 | $332.79 | |
Anthem BCBS
| Professional | $201.97 | $343.01 | $487.07 | |
CareSource
| Professional | $96.06 | $224.51 | $398.10 | |
Cigna
| Professional | $256.86 | $346.19 | $531.04 | |
United
| Professional | $229.81 | $294.89 | $508.17 |