| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $169.90 | $191.30 | $231.66 | |
Anthem BCBS
| Professional | $107.89 | $107.89 | $153.19 | |
CareSource
| Facility | $251.23 | $326.60 | $351.72 | |
CareSource
| Professional | $251.23 | $276.35 | $314.04 | |
Cigna
| Professional | $108.53 | $108.53 | $291.38 | |
United
| Professional | $75.20 | $115.88 | $157.47 |