| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $179.68 | $208.51 | $211.70 | |
Anthem BCBS
| Professional | $15.81 | $32.50 | $42.90 | |
CareSource
| Facility | $26.37 | $26.37 | $26.37 | |
Cigna
| Professional | $42.90 | $172.39 | $312.95 | |
United
| Professional | $168.33 | $198.03 | $330.85 |