| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Aetna
| Professional | 26 | $90.10 | $100.00 | $265.00 |
Ambetter
| Professional | 26 | $95.12 | $95.12 | $105.42 |
Anthem BCBS
| Professional | 26 | $72.08 | $74.23 | $95.17 |
Cigna
| Facility | 26 | $99.80 | $99.80 | $99.80 |
Cigna
| Professional | 26 | $88.15 | $159.53 | $403.82 |
United
| Professional | 26 | $85.69 | $99.33 | $135.47 |