| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.79 | $100.00 | $128.82 | |
Anthem BCBS
| Professional | $53.70 | $69.18 | $104.71 | |
CareSource
| Facility | $204.17 | $204.17 | $204.17 | |
Cigna
| Professional | $48.98 | $57.54 | $128.82 | |
United
| Professional | $39.81 | $60.26 | $85.11 |