| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.04 | $31.99 | $50.63 | |
Anthem BCBS
| Facility | $45.18 | $45.18 | $87.20 | |
Anthem BCBS
| Professional | $36.14 | $45.18 | $62.34 | |
CareSource
| Facility | $43,749.56 | $65,624.35 | $89,999.10 | |
Cigna
| Professional | $50.69 | $59.64 | $59.64 | |
United
| Professional | $47.35 | $61.52 | $101.24 |