| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $82.97 | $104.27 | $147.56 | |
Anthem BCBS
| Professional | $143.91 | $169.30 | $225.06 | |
CareSource
| Facility | $113.10 | $137.69 | $179.20 | |
CareSource
| Professional | $116.48 | $150.47 | $215.04 | |
Cigna
| Professional | $140.61 | $180.17 | $259.42 | |
United
| Professional | $148.69 | $178.00 | $256.25 |