| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.12 | $80.92 | $105.56 | |
CareSource
| Facility | $43.72 | $51.31 | $95.03 | |
CareSource
| Professional | $40.07 | $47.36 | $98.99 | |
Cigna
| Facility | $97.31 | $97.31 | $97.31 | |
Cigna
| Professional | $65.19 | $85.48 | $145.31 | |
United
| Professional | $56.20 | $68.20 | $124.32 |