| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $158.49 |
Aetna
| Professional | 26 | $83.18 | $131.83 | $218.78 |
Ambetter
| Professional | 26 | $66.07 | $104.71 | $165.96 |
Anthem BCBS
| Professional | 26 | $72.44 | $74.13 | $93.33 |
Cigna
| Facility | 26 | $21.38 | $100.00 | $141.25 |
Cigna
| Professional | 26 | $100.00 | $407.38 | $407.38 |
United
| Professional | 26 | $85.11 | $102.33 | $138.04 |