| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $34.22 | $40.35 | $59.24 | |
Anthem BCBS
| Professional | $19.38 | $22.80 | $65.98 | |
CareSource
| Facility | $15.07 | $35.10 | $66.34 | |
CareSource
| Professional | $15.07 | $32.40 | $69.09 | |
Cigna
| Facility | $41.75 | $41.75 | $41.75 | |
Cigna
| Professional | $32.76 | $64.12 | $117.61 | |
United
| Professional | $47.11 | $58.81 | $78.70 |