| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $119.70 | $119.70 | $119.70 | |
Anthem BCBS
| Professional | $127.50 | $150.00 | $150.00 | |
CareSource
| Facility | $212.29 | $212.29 | $212.29 | |
Cigna
| Facility | $94.50 | $94.50 | $94.50 | |
Cigna
| Professional | $80.33 | $94.50 | $150.55 |