| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.20 | $250.18 | $314.61 | |
Aetna
| Professional | $18.18 | $21.20 | $38.97 | |
Anthem BCBS
| Professional | $234.60 | $276.00 | $302.25 | |
CareSource
| Facility | $30.31 | $454.65 | $681.98 | |
Cigna
| Facility | $106.34 | $240.36 | $467.61 | |
United
| Professional | $39.25 | $44.87 | $76.69 |