| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.40 | $120.79 | $155.49 | |
CareSource
| Facility | $129.90 | $142.56 | $155.32 | |
CareSource
| Professional | $70.90 | $130.68 | $138.06 | |
Cigna
| Facility | $139.44 | $139.44 | $139.44 | |
Cigna
| Professional | $103.39 | $138.06 | $254.00 | |
United
| Professional | $87.22 | $125.56 | $182.93 |