| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $71.65 | $80.73 | $86.15 | |
CareSource
| Facility | $94.20 | $102.90 | $112.12 | |
CareSource
| Professional | $99.66 | $99.66 | $99.66 | |
Cigna
| Facility | $142.84 | $142.84 | $142.84 | |
Cigna
| Professional | $41.52 | $57.01 | $151.54 | |
United
| Professional | $53.09 | $83.51 | $165.68 |