| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $64.57 | $79.43 | $79.43 | |
Anthem BCBS
| Professional | $37.15 | $50.12 | $75.86 | |
CareSource
| Facility | $100.00 | $100.00 | $100.00 | |
Cigna
| Professional | $26.30 | $26.30 | $66.07 | |
United
| Professional | $19.95 | $64.57 | $125.89 |