| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.06 | $75.06 | $87.60 | |
Aetna
| Professional | $64.58 | $78.34 | $102.99 | |
Anthem BCBS
| Professional | $77.88 | $121.83 | $184.74 | |
CareSource
| Facility | $64.45 | $70.31 | $97.65 | |
CareSource
| Professional | $91.88 | $98.94 | $109.73 | |
Cigna
| Facility | $113.46 | $113.46 | $113.46 | |
Cigna
| Professional | $82.95 | $117.03 | $192.00 | |
United
| Professional | $88.67 | $110.55 | $161.11 |