| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.45 | $42.98 | $42.98 | |
CareSource
| Facility | $60.67 | $75.84 | $88.48 | |
CareSource
| Professional | $60.67 | $60.67 | $68.26 | |
Cigna
| Facility | $60.67 | $60.67 | $60.67 | |
Cigna
| Professional | $19.61 | $21.20 | $243.70 | |
United
| Professional | $9.53 | $22.75 | $63.20 |