| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.86 | $53.70 | $53.70 |
Aetna
| Professional | $173.78 | $204.17 | $323.59 | |
Anthem BCBS
| Professional | $213.80 | $257.04 | $467.74 | |
CareSource
| Professional | $54.95 | $69.18 | $85.11 | |
Cigna
| Facility | 26 | $13.49 | $63.10 | $89.13 |
Cigna
| Professional | $309.03 | $575.44 | $1,412.54 | |
Molina
| Professional | $32.36 | $33.11 | $208.93 | |
United
| Professional | $234.42 | $295.12 | $389.05 |