| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $71.12 | |
Aetna
| Professional | $20.00 | $20.00 | $128.86 | |
Anthem BCBS
| Professional | $68.00 | $80.00 | $109.48 | |
CareSource
| Facility | $69.11 | $87.75 | $120.25 | |
CareSource
| Professional | $68.25 | $100.91 | $131.63 | |
Cigna
| Professional | $89.76 | $105.60 | $107.62 | |
United
| Professional | $230.00 | $230.00 | $230.00 |