| 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 | $7.22 | $17.04 | $24.39 | |
CareSource
| Facility | $10.17 | $152.49 | $252.72 | |
Cigna
| Professional | $23.90 | $28.12 | $28.12 | |
United
| Professional | $84.85 | $109.80 | $180.67 |