| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.59 | $69.59 | $69.59 | |
Aetna
| Professional | $53.50 | $96.66 | $110.84 | |
Anthem BCBS
| Professional | $14.74 | $20.30 | $28.69 | |
CareSource
| Facility | $23.61 | $354.21 | $584.01 | |
Cigna
| Professional | $23.90 | $28.12 | $28.12 | |
United
| Professional | $84.85 | $107.67 | $172.77 |