| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $87.69 | $96.10 | $126.49 | |
Anthem BCBS
| Professional | $54.19 | $54.19 | $103.43 | |
CareSource
| Facility | $126.20 | $164.06 | $189.30 | |
CareSource
| Professional | $126.20 | $138.82 | $157.75 | |
Cigna
| Professional | $57.66 | $57.66 | $146.25 | |
United
| Professional | $39.95 | $59.91 | $80.61 |