| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.80 | $50.45 | $79.70 | |
CareSource
| Facility | $80.56 | $80.56 | $80.56 | |
Cigna
| Facility | $112.58 | $112.58 | $112.58 | |
Cigna
| Professional | $65.27 | $122.99 | $394.47 | |
United
| Professional | $47.83 | $67.66 | $113.42 |