| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.69 | $41.69 | $338.84 |
Aetna
| Professional | $56.23 | $64.57 | $81.28 | |
Aetna
| Professional | 26 | $38.90 | $43.65 | $57.54 |
Anthem BCBS
| Professional | $47.86 | $60.26 | $97.72 | |
Anthem BCBS
| Professional | 26 | $38.02 | $43.65 | $70.79 |
CareSource
| Professional | $16.98 | $16.98 | $16.98 | |
Cigna
| Professional | $63.10 | $75.86 | $138.04 | |
Cigna
| Professional | 26 | $41.69 | $53.70 | $85.11 |
United
| Professional | $53.70 | $67.61 | $114.82 | |
United
| Professional | 26 | $38.02 | $48.98 | $79.43 |