| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $221.58 | $221.58 | $233.12 | |
Anthem BCBS
| Professional | $231.46 | $308.62 | $308.62 | |
CareSource
| Facility | $297.47 | $297.47 | $297.47 | |
CareSource
| Professional | $254.98 | $254.98 | $265.60 | |
Cigna
| Professional | $165.38 | $165.38 | $356.52 | |
United
| Professional | $293.24 | $354.52 | $483.28 |