| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.59 | $145.44 | $184.73 | |
Anthem BCBS
| Professional | $171.02 | $201.20 | $275.38 | |
CareSource
| Facility | $159.47 | $205.14 | $253.50 | |
CareSource
| Professional | $164.78 | $213.50 | $304.20 | |
Cigna
| Professional | $170.23 | $218.44 | $313.95 | |
United
| Professional | $181.02 | $214.27 | $311.55 |