| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $100.00 |
Aetna
| Professional | 26 | $100.00 | $100.00 | $265.00 |
Ambetter
| Professional | 26 | $33.65 | $33.65 | $35.01 |
Anthem BCBS
| Professional | 26 | $22.46 | $24.92 | $31.09 |
Cigna
| Facility | 26 | $32.90 | $32.90 | $32.90 |
Cigna
| Professional | 26 | $29.71 | $52.79 | $134.09 |
United
| Professional | 26 | $28.81 | $31.81 | $45.49 |