| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $242.88 | $242.88 | $255.53 | |
Anthem BCBS
| Professional | $173.59 | $231.46 | $231.46 | |
CareSource
| Facility | $326.06 | $326.06 | $326.06 | |
CareSource
| Professional | $279.48 | $279.48 | $291.13 | |
Cigna
| Professional | $181.46 | $181.46 | $267.39 | |
United
| Professional | $219.93 | $265.89 | $362.46 |