| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.24 | $122.29 | $155.53 | |
Anthem BCBS
| Professional | $78.70 | $90.61 | $119.60 | |
CareSource
| Facility | $126.53 | $148.86 | $173.67 | |
CareSource
| Professional | $131.71 | $173.17 | $211.00 | |
Cigna
| Facility | $49.47 | $49.47 | $49.47 | |
Cigna
| Professional | $67.20 | $139.63 | $286.06 | |
United
| Professional | $107.40 | $179.94 | $311.17 |