| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $88.76 | $88.76 | $88.76 | |
Anthem BCBS
| Facility | $72.56 | $72.56 | $140.04 | |
Anthem BCBS
| Professional | $39.00 | $72.56 | $97.75 | |
CareSource
| Facility | $127.35 | $132.06 | $165.55 | |
CareSource
| Professional | $99.05 | $152.81 | $191.02 | |
Cigna
| Professional | $95.78 | $95.78 | $95.78 |