| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $44.08 | $44.08 | $49.08 |
Aetna
| Professional | $59.26 | $62.66 | $88.87 | |
Aetna
| Professional | 26 | $40.90 | $44.08 | $62.23 |
Anthem BCBS
| Professional | $40.94 | $48.17 | $69.45 | |
Anthem BCBS
| Professional | 26 | $35.10 | $43.88 | $61.82 |
CareSource
| Professional | $17.64 | $25.58 | $82.40 | |
Cigna
| Facility | 26 | $50.53 | $50.53 | $50.53 |
Cigna
| Professional | $57.90 | $81.15 | $129.53 | |
Cigna
| Professional | 26 | $41.88 | $58.54 | $94.63 |
Molina
| Professional | $13.47 | $32.34 | $51.48 | |
United
| Professional | $56.90 | $75.00 | $124.39 | |
United
| Professional | 26 | $41.57 | $54.92 | $90.06 |