| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.65 | $43.65 | $45.71 |
Aetna
| Professional | $56.23 | $64.57 | $83.18 | |
Aetna
| Professional | 26 | $38.90 | $43.65 | $57.54 |
Anthem BCBS
| Professional | $40.74 | $47.86 | $61.66 | |
Anthem BCBS
| Professional | 26 | $35.48 | $43.65 | $61.66 |
CareSource
| Professional | $14.79 | $22.39 | $27.54 | |
Cigna
| Facility | 26 | $10.72 | $50.12 | $72.44 |
Cigna
| Professional | $60.26 | $93.33 | $302.00 | |
Cigna
| Professional | 26 | $41.69 | $72.44 | $208.93 |
Molina
| Professional | $13.49 | $32.36 | $38.90 | |
United
| Professional | $56.23 | $72.44 | $125.89 | |
United
| Professional | 26 | $40.74 | $52.48 | $89.13 |