| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.38 | $35.97 | $56.66 |
Aetna
| Professional | $233.13 | $259.04 | $366.78 | |
Anthem BCBS
| Professional | $228.41 | $260.89 | $400.68 | |
CareSource
| Professional | $38.04 | $56.81 | $357.98 | |
Cigna
| Facility | 26 | $42.17 | $42.17 | $42.17 |
Cigna
| Professional | $289.92 | $449.40 | $1,286.27 | |
Molina
| Professional | $32.34 | $32.34 | $261.04 | |
United
| Professional | $244.06 | $327.50 | $427.74 |