| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.27 | $69.34 | $86.67 | |
Anthem BCBS
| Professional | $39.10 | $39.10 | $70.81 | |
CareSource
| Facility | $91.05 | $118.37 | $136.58 | |
CareSource
| Professional | $91.05 | $100.16 | $113.81 | |
Cigna
| Professional | $41.03 | $41.03 | $101.06 | |
United
| Professional | $28.43 | $42.76 | $58.16 |