| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.01 | $19.75 | $32.46 |
Aetna
| Professional | $53.14 | $78.18 | $124.44 | |
Anthem BCBS
| Professional | $35.40 | $67.33 | $108.97 | |
CareSource
| Professional | $19.75 | $59.39 | $97.43 | |
Cigna
| Facility | 26 | $22.16 | $22.16 | $22.16 |
Cigna
| Professional | $36.26 | $76.81 | $158.56 | |
Molina
| Professional | $5.65 | $25.56 | $32.34 | |
United
| Professional | $35.63 | $83.29 | $171.64 |