| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $69.25 | $121.93 | $143.44 | |
BCBS
| Professional | $107.13 | $157.55 | $157.55 | |
CareSource
| Facility | $114.71 | $114.71 | $114.71 | |
CareSource
| Professional | $112.75 | $112.75 | $112.75 | |
Cigna
| Professional | $120.19 | $120.19 | $120.26 | |
United
| Professional | $106.80 | $137.56 | $195.47 |