| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.54 | $87.10 | $114.82 | |
Anthem BCBS
| Professional | $46.77 | $58.88 | $91.20 | |
CareSource
| Facility | $177.83 | $177.83 | $177.83 | |
Cigna
| Professional | $42.66 | $48.98 | $112.20 | |
United
| Professional | $33.88 | $51.29 | $72.44 |