| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $81.27 | $168.90 | $198.71 | |
BCBS
| Professional | $156.10 | $229.56 | $229.56 | |
CareSource
| Facility | $166.76 | $166.76 | $166.76 | |
CareSource
| Professional | $163.91 | $163.91 | $163.91 | |
Cigna
| Professional | $167.42 | $167.42 | $173.80 | |
United
| Professional | $141.75 | $185.75 | $278.18 |