| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $62.25 | $70.55 | $86.28 | |
CareSource
| Facility | $44.21 | $71.77 | $107.66 | |
CareSource
| Professional | $44.21 | $47.61 | $166.42 | |
Cigna
| Facility | $87.36 | $87.36 | $87.36 | |
Cigna
| Professional | $357.02 | $357.02 | $357.02 | |
United
| Professional | $57.42 | $84.98 | $133.86 |