| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $133.00 | $133.00 | $133.00 | |
Anthem BCBS
| Facility | $22.90 | $22.90 | $44.20 | |
Anthem BCBS
| Professional | $22.10 | $22.90 | $30.85 | |
CareSource
| Facility | $30.77 | $37.60 | $38,015.62 | |
Cigna
| Professional | $30.23 | $30.23 | $30.23 |