| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $302.01 | $350.48 | $355.85 | |
Anthem BCBS
| Professional | $15.81 | $32.50 | $42.90 | |
CareSource
| Facility | $51.98 | $51.98 | $51.98 | |
Cigna
| Professional | $42.90 | $289.52 | $525.96 | |
United
| Professional | $284.30 | $358.18 | $619.58 |