| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $191.09 | $264.91 | $288.77 | |
Anthem BCBS
| Professional | $153.28 | $153.28 | $217.65 | |
CareSource
| Facility | $356.93 | $464.01 | $499.70 | |
CareSource
| Professional | $356.93 | $392.62 | $446.16 | |
Cigna
| Professional | $128.49 | $128.49 | $366.13 | |
United
| Professional | $89.03 | $164.63 | $217.14 |