| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $18.23 | $18.23 | $19.57 |
Aetna
| Professional | $67.13 | $78.48 | $89.76 | |
Anthem BCBS
| Professional | $38.33 | $64.04 | $92.34 | |
CareSource
| Professional | $18.85 | $62.26 | $90.11 | |
Cigna
| Professional | $32.07 | $71.14 | $170.47 | |
United
| Professional | $40.67 | $84.48 | $144.75 |