| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $104.71 | $104.71 | |
Aetna
| Professional | $44.67 | $58.88 | $89.13 | |
Anthem BCBS
| Professional | $75.86 | $95.50 | $151.36 | |
CareSource
| Facility | $70.79 | $72.44 | $81.28 | |
CareSource
| Professional | $72.44 | $75.86 | $75.86 | |
Cigna
| Professional | $66.07 | $81.28 | $134.90 | |
United
| Professional | $64.57 | $79.43 | $114.82 |