| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.58 | $111.72 | $131.44 | |
Aetna
| Professional | $93.98 | $113.51 | $166.31 | |
Anthem BCBS
| Professional | $81.66 | $97.00 | $126.25 | |
CareSource
| Facility | $140.16 | $180.91 | $226.53 | |
CareSource
| Professional | $141.58 | $169.90 | $283.16 | |
Cigna
| Facility | $174.49 | $174.49 | $174.49 | |
Cigna
| Professional | $114.96 | $227.96 | $715.63 | |
United
| Professional | $105.03 | $120.74 | $199.72 |