| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $100.00 | $100.00 | $118.40 |
Aetna
| Professional | 26 | $100.00 | $100.00 | $265.00 |
Ambetter
| Professional | 26 | $100.48 | $100.48 | $100.48 |
Anthem BCBS
| Professional | 26 | $69.20 | $81.42 | $133.60 |
Cigna
| Facility | 26 | $95.81 | $95.81 | $95.81 |
Cigna
| Professional | 26 | $91.22 | $146.91 | $1,674.63 |
United
| Professional | 26 | $81.30 | $100.71 | $128.51 |