| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.20 | $235.20 | $235.20 | |
Aetna
| Professional | $22.51 | $22.51 | $22.51 | |
Anthem BCBS
| Professional | $4.75 | $4.75 | $6.02 | |
CareSource
| Facility | $18.62 | $18.62 | $18.62 | |
Cigna
| Professional | $6.27 | $20.89 | $20.89 |