| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.24 | $45.24 | $76.23 |
Aetna
| Professional | $334.33 | $375.13 | $483.01 | |
Anthem BCBS
| Professional | $434.54 | $535.70 | $739.26 | |
CareSource
| Professional | $47.37 | $356.21 | $480.88 | |
Cigna
| Facility | 26 | $55.81 | $55.81 | $55.81 |
Cigna
| Professional | $361.06 | $538.21 | $845.29 | |
United
| Professional | $393.73 | $488.69 | $813.51 |