| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.75 | $78.75 | $116.66 |
Aetna
| Professional | $321.04 | $345.86 | $377.09 | |
Anthem BCBS
| Professional | $316.35 | $485.27 | $662.78 | |
CareSource
| Professional | $78.89 | $327.94 | $447.38 | |
Cigna
| Professional | $368.86 | $435.80 | $640.55 | |
United
| Professional | $330.00 | $403.34 | $620.48 |