| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $113.00 | $133.88 | $166.17 | |
Anthem BCBS
| Professional | $124.37 | $184.30 | $254.33 | |
CareSource
| Professional | $112.48 | $128.54 | $160.68 | |
Cigna
| Professional | $122.33 | $184.08 | $464.19 | |
United
| Professional | $112.88 | $143.79 | $231.75 |