| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $57.45 | $57.45 | $68.54 | |
Anthem BCBS
| Professional | $40.00 | $49.00 | $66.01 | |
CareSource
| Facility | $61.98 | $61.98 | $84.93 | |
CareSource
| Professional | $48.21 | $65.08 | $92.97 | |
Cigna
| Professional | $14.25 | $14.25 | $64.68 |