| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.00 | $54.79 | $61.83 | |
Anthem BCBS
| Professional | $30.90 | $30.90 | $47.67 | |
CareSource
| Facility | $71.95 | $93.55 | $100.74 | |
CareSource
| Professional | $71.95 | $79.16 | $89.95 | |
Cigna
| Professional | $30.85 | $30.85 | $73.81 | |
United
| Professional | $21.38 | $33.20 | $45.97 |