| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $143.68 | $211.37 | $243.88 | |
Anthem BCBS
| Professional | $114.90 | $169.21 | $262.77 | |
CareSource
| Professional | $203.23 | $243.88 | $304.85 | |
Cigna
| Professional | $158.91 | $207.96 | $482.66 | |
United
| Professional | $217.70 | $295.29 | $577.50 |