| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $76.81 | $91.60 | $105.60 | |
Anthem BCBS
| Professional | $52.99 | $52.99 | $75.23 | |
CareSource
| Facility | $123.41 | $160.43 | $172.77 | |
CareSource
| Professional | $123.41 | $135.75 | $154.26 | |
Cigna
| Professional | $51.66 | $51.66 | $143.25 | |
United
| Professional | $35.79 | $56.92 | $78.83 |