| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $20.34 | $20.34 | $20.34 |
Aetna
| Professional | $25.00 | $25.71 | $27.51 | |
Anthem BCBS
| Professional | $25.73 | $43.25 | $44.55 | |
CareSource
| Professional | $7.44 | $14.06 | $47.52 | |
Cigna
| Facility | 26 | $30.04 | $30.04 | $30.04 |
Cigna
| Professional | $15.78 | $33.43 | $63.79 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $21.28 | $38.72 | $55.52 |