| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.91 | $147.91 | $147.91 |
Aetna
| Professional | $169.82 | $199.53 | $363.08 | |
Anthem BCBS
| Professional | $125.89 | $181.97 | $263.03 | |
CareSource
| Professional | $30.20 | $30.20 | $30.20 | |
Cigna
| Professional | $125.89 | $213.80 | $389.05 | |
United
| Professional | $158.49 | $194.98 | $331.13 |