| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $126.20 | $226.76 | $306.26 | |
Anthem BCBS
| Professional | $109.22 | $204.31 | $426.26 | |
Anthem BCBS
| Professional | 50 | $163.83 | $306.47 | $639.39 |
CareSource
| Professional | $247.69 | $303.54 | $437.10 | |
Cigna
| Professional | $151.91 | $274.75 | $529.20 | |
United
| Professional | $243.35 | $290.83 | $455.97 |