| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.32 | $57.64 | $64.19 | |
Anthem BCBS
| Professional | $34.07 | $34.07 | $48.37 | |
CareSource
| Facility | $79.34 | $103.14 | $111.08 | |
CareSource
| Professional | $79.34 | $87.27 | $99.18 | |
Cigna
| Professional | $28.56 | $28.56 | $81.99 | |
United
| Professional | $19.79 | $37.26 | $48.27 |