| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.25 | $86.30 | $151.13 | |
Aetna
| Professional | $65.48 | $78.42 | $105.21 | |
Anthem BCBS
| Professional | $72.19 | $88.45 | $123.60 | |
CareSource
| Facility | $65.00 | $94.54 | $112.28 | |
CareSource
| Professional | $77.64 | $98.81 | $122.34 | |
Cigna
| Facility | $113.46 | $113.46 | $133.35 | |
Cigna
| Professional | $76.06 | $108.24 | $189.27 | |
United
| Professional | $88.67 | $103.62 | $163.91 |