| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $51.29 | $61.66 | $81.28 | |
CareSource
| Facility | $75.86 | $83.18 | $95.50 | |
CareSource
| Professional | $177.83 | $177.83 | $177.83 | |
Cigna
| Professional | $380.19 | $380.19 | $380.19 | |
United
| Professional | $53.70 | $64.57 | $128.82 |