| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $108.08 | $120.17 | $141.52 | |
CareSource
| Facility | $142.74 | $155.72 | $169.67 | |
CareSource
| Professional | $150.82 | $150.82 | $150.82 | |
Cigna
| Facility | $216.44 | $216.44 | $216.44 | |
Cigna
| Professional | $59.41 | $88.16 | $262.61 | |
United
| Professional | $93.39 | $159.74 | $287.52 |