| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.27 | $53.63 | $73.90 |
Aetna
| Professional | $175.27 | $194.74 | $271.12 | |
Anthem BCBS
| Professional | $212.33 | $259.97 | $309.12 | |
CareSource
| Professional | $59.00 | $102.60 | $271.45 | |
Cigna
| Facility | 26 | $63.01 | $63.01 | $63.01 |
Cigna
| Professional | $284.27 | $392.35 | $1,380.84 | |
Molina
| Professional | $32.34 | $32.34 | $200.96 | |
United
| Professional | $233.50 | $285.95 | $358.35 |