| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $225.72 | $225.72 | $225.72 |
Aetna
| Professional | $254.75 | $276.95 | $344.00 | |
Anthem BCBS
| Professional | $257.74 | $402.75 | $580.09 | |
CareSource
| Professional | $43.38 | $248.30 | $324.64 | |
Cigna
| Facility | 26 | $265.56 | $265.56 | $265.56 |
Cigna
| Professional | $301.23 | $471.35 | $789.75 | |
United
| Professional | $240.83 | $307.49 | $500.77 |