| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.95 | $96.04 | $106.90 | |
Anthem BCBS
| Professional | $54.15 | $54.15 | $85.96 | |
CareSource
| Facility | $126.13 | $163.97 | $176.58 | |
CareSource
| Professional | $126.13 | $138.74 | $157.66 | |
Cigna
| Professional | $51.33 | $51.33 | $146.25 | |
United
| Professional | $35.57 | $59.22 | $76.73 |