| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.51 | $71.83 | $102.51 | |
Anthem BCBS
| Professional | $42.92 | $64.09 | $87.35 | |
CareSource
| Facility | $52.51 | $55.14 | $73.51 | |
CareSource
| Professional | $88.69 | $90.38 | $112.98 | |
Cigna
| Facility | $92.17 | $92.17 | $92.17 | |
Cigna
| Professional | $57.40 | $85.21 | $159.21 | |
United
| Professional | $67.09 | $91.69 | $129.03 |