| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.78 | $88.03 | $100.73 | |
Anthem BCBS
| Professional | $49.65 | $49.65 | $75.78 | |
CareSource
| Facility | $115.61 | $150.29 | $161.85 | |
CareSource
| Professional | $115.61 | $127.17 | $144.51 | |
Cigna
| Professional | $51.62 | $51.62 | $133.88 | |
United
| Professional | $35.77 | $54.29 | $73.86 |