| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.62 | $98.23 | $108.66 | |
Anthem BCBS
| Professional | $55.71 | $55.71 | $81.09 | |
CareSource
| Facility | $129.72 | $168.65 | $181.62 | |
CareSource
| Professional | $129.72 | $142.69 | $162.16 | |
Cigna
| Professional | $58.28 | $58.28 | $150.38 | |
United
| Professional | $40.38 | $60.57 | $81.31 |