| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $73.34 | $81.48 | $98.53 |
Aetna
| Professional | $533.67 | $592.98 | $746.45 | |
Anthem BCBS
| Professional | $519.27 | $534.85 | $727.54 | |
CareSource
| Professional | $86.15 | $128.63 | $839.28 | |
Cigna
| Facility | 26 | $96.65 | $96.65 | $96.65 |
Cigna
| Professional | $662.59 | $1,120.84 | $2,954.52 | |
Molina
| Professional | $32.34 | $32.34 | $599.49 | |
United
| Professional | $639.80 | $779.72 | $974.78 |