| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.97 | $115.78 | $158.00 | |
Anthem BCBS
| Professional | $76.18 | $119.40 | $189.25 | |
CareSource
| Professional | $126.59 | $145.58 | $189.89 | |
Cigna
| Professional | $97.80 | $142.71 | $275.68 | |
United
| Professional | $110.40 | $139.94 | $248.91 |