| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $42.79 | $42.79 | $42.79 |
Aetna
| Professional | $54.19 | $61.29 | $74.78 | |
Aetna
| Professional | 26 | $38.90 | $42.79 | $51.63 |
Anthem BCBS
| Professional | $44.22 | $60.69 | $83.75 | |
Anthem BCBS
| Professional | 26 | $37.03 | $43.57 | $65.34 |
CareSource
| Professional | $18.95 | $47.38 | $74.70 | |
Cigna
| Professional | $59.93 | $75.30 | $114.04 | |
Cigna
| Professional | 26 | $42.35 | $53.28 | $79.27 |
United
| Professional | $52.72 | $68.45 | $122.82 | |
United
| Professional | 26 | $38.14 | $48.34 | $79.72 |