| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $173.13 | $215.66 | $235.08 | |
Anthem BCBS
| Professional | $124.78 | $124.78 | $177.18 | |
CareSource
| Facility | $290.57 | $377.74 | $406.80 | |
CareSource
| Professional | $290.57 | $319.63 | $363.21 | |
Cigna
| Professional | $104.60 | $104.60 | $298.06 | |
United
| Professional | $72.48 | $134.03 | $194.15 |